# OPTIMUM PERFORMANCE PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043632383
- **Authorized official:** JEFFREY MATTHEW WOODS PT (OWNER, SENIOR PHYSICAL THERAPIST)
- **Authorized official phone:** (410) 212-4128

## Contact information

- **Practice address:** 8600 LASALLE ROAD, CHESTER BUILDING, SUITE 322, TOWSON, MD 21286
- **Practice address phone:** (410) 828-6778
- **Practice address fax:** (410) 821-6778
- **Mailing address:** 8600 LASALLE ROAD, CHESTER BUILDING, SUITE 322, TOWSON, MD 21286
- **Mailing address phone:** (410) 828-6778
- **Mailing address fax:** (410) 821-6778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 20705 | MD | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 01/06/2014