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Organization
OPTIMUS PHYSICAL THERAPY AND ORTHOSPORT SPECIALISTS PLLC
Active
Organization
OPTIMUS PHYSICAL THERAPY AND ORTHOSPORT SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MANNIX PT (OWNER)
(432) 934-5609
Entity
Organization
Contact information
Practice address
2760 N GRANDVIEW AVE, SUITE A, ODESSA, TX 79762-6953
(432) 934-5609
Mailing address
2760 N GRANDVIEW AVE, SUITE A, ODESSA, TX 79762-6953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
09/06/2011
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