| Optimum Physiocare Llc | |
|
11200 Holter Rd, White Marsh, MD 21162-3429 | |
| (443) 763-1909 | |
| Not Available |
| Full Name | Optimum Physiocare Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11200 Holter Rd, White Marsh, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811786585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Joan Oco-santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265735906 PECOS PAC ID: 3678086766 Enrollment ID: I20250701004247 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Physiocare Llc 11200 Holter Rd, White Marsh, MD 21162-3429 Ph: (443) 763-1909 | Optimum Physiocare Llc 11200 Holter Rd, White Marsh, MD 21162-3429 Ph: (443) 763-1909 |
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