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Organization
OPTIMAL THERAPY INC
Active
Organization
OPTIMAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EDWARD HOUGH PHYSICAL THERAPIST (PRESIDENT)
(732) 703-1453
Entity
Organization
Contact information
Practice address
115 S MAIN ST APT 10, NORTH WALES, PA 19454-2846
(732) 703-1453
Mailing address
2662 WASHINGTON ST, EASTON, PA 18045-2645
(732) 703-1453
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT023347
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT
PA
Enumeration date
08/18/2019
Last updated
08/18/2019
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