# OPTIMUM PHYSIOCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811786585
- **Authorized official:** JOAN OCO-SANTOS (PHYSICAL THERAPIST)
- **Authorized official phone:** (443) 763-1909

## Contact information

- **Practice address:** 11200 HOLTER RD, WHITE MARSH, MD 21162-3429
- **Practice address phone:** (443) 763-1909
- **Mailing address:** 11200 HOLTER RD, WHITE MARSH, MD 21162-3429
- **Mailing address phone:** (443) 763-1909
- **Mailing address fax:** (443) 763-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 05/01/2025