| Organization Name: | OPTIMUM WELLNESS PHYSICAL THERAPY LLC. |
| NPI Number: | 1053604348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHA TRACELYN COLON (PHYSICAL THERAPIST) |
| Mailing Address: | 9625 Surveyor Ct Ste 200a Manassas |
| State: | VA US |
| Postal Code: | 201104422 |
| Phone Number: | 7033358275 |
| Fax Number: | 7036564727 |
| NPI Enumeration Date: | 05/19/2011 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305204344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |