NPI 1003165663

Optimum Rehab & Sports Training, LLC

Organisation Orthopedic Physical Therapist Raleigh, NC

Practice location

Address: 6405 Westgate Rd Suite 105, Raleigh, NC 27617-4757
Phone: (919) 508-6835

Authorised official

Name: Mark Dufault
Title: Owner/Physical Therapist
Phone: (919) 667-4873

Registered specialties

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence P6231 (NC)

Other Physical Therapist providers in North Carolina →

Registry record

NPI: 1003165663
Entity type: Organization
NPI issued: 29 Aug 2012
Record last updated: 29 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.