# OPTIMUM PHYSICAL THERAPY AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fyzical Therapy and Balance Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326740440
- **Authorized official:** JARRETT MYLES SHAVITZ (OWNER)
- **Authorized official phone:** (240) 813-3597

## Contact information

- **Practice address:** 12800 MIDDLEBROOK RD STE 100, GERMANTOWN, MD 20874-5204
- **Practice address phone:** (301) 235-3031
- **Practice address fax:** (240) 702-0074
- **Mailing address:** 12800 MIDDLEBROOK RD STE 100, GERMANTOWN, MD 20874-5204
- **Mailing address phone:** (301) 235-3031
- **Mailing address fax:** (240) 702-0074

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2023
- **Last updated:** 03/21/2023