| NPI | 1255728986 |
|---|---|
| Other Name | OPTIMUM PHYSICAL THERAPY AND PERFORMANCE CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL S JACKSON CEO 816-547-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-07-30 |