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Organization
OPTIMUM PERFORMANCE PHYSICAL THERAPY PLLC
Active
Organization
OPTIMUM PERFORMANCE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MARK RUTKOWSKI PT (PRESIDENT OWNER)
(845) 986-5099
Entity
Organization
Contact information
Practice address
214 WEST ST, WARWICK, NY 10990-3214
(845) 986-5099
(845) 986-5242
Mailing address
POST OFFICE BOX 2038, NEW CITY, NY 10956
(845) 638-9079
(845) 638-9079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0108481
NY
Other
Enumeration date
03/01/2006
Last updated
11/16/2007
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