Organization
OPTIMAL PERFORMANCE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON O'NEAL WHITE PT (OWNER/PHYSICAL THERAPIST)
(361) 648-0643
Entity
Organization
Contact information
Practice address
2901 RANCH ROAD 620 N, AUSTIN, TX 78734-2208
(512) 815-3748
(512) 352-9648
Mailing address
2208 FM 620 N APT 3203, AUSTIN, TX 78734-2819
(361) 648-0643
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
10/28/2023
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