| NPI | 1255148615 |
|---|---|
| Other Name | OPTIMUM THERAPIES MANDAN |
| Entity Type | Organization |
| Authorized Contact | SUE M DRAKE Billing 715-855-0430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |