| NPI | 1407945728 |
|---|---|
| Doing Business As | OPTIMUM HEALTH WOODSTOCK |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER JUTIS Owner 770-516-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |