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Organization
OPTIMUM WELLNESS PHYSICAL THERAPY LLC.
Active
Organization
OPTIMUM WELLNESS PHYSICAL THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA TRACELYN COLON MSPT (PHYSICAL THERAPIST)
(301) 452-2168
Entity
Organization
Contact information
Practice address
9625 SURVEYOR CT, STE 200A, MANASSAS, VA 20110-4422
(703) 335-8275
(703) 656-4727
Mailing address
9625 SURVEYOR CT, STE 120, MANASSAS, VA 20110-4422
(703) 335-8275
(703) 656-4727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204344
VA
Other
Enumeration date
05/19/2011
Last updated
02/03/2015
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