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Organization
OPTIMAL PHYSICAL THERAPY, LLC
Active
Organization
OPTIMAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LARSON (OFFICE MANGER)
(920) 648-2400
Entity
Organization
Contact information
Practice address
805 ELM ST, LAKE MILLS, WI 53551-1127
(920) 648-2400
(920) 648-2444
Mailing address
805 ELM ST, LAKE MILLS, WI 53551-1127
(920) 648-2400
(920) 648-2444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40431100
—
WI
Enumeration date
07/23/2006
Last updated
10/23/2025
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