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Physical Therapy, COMT, Manual Therapy, OPTIM, PT, Fitness, Fellowship, Residency, OCS prep. Several months ago, Chris and Jim joined OPTIM Physical Therapy to create a COMT program based out of Scottsdale, AZ. The mission of the program is to create a We cover pain science, therapeutic alliance, exercise prescription, tissue loading, differential diagnosis, and manual therapy in a fun and friendly environment Manual-therapy.com login - Login page. Login - Mulligan Concept - Manual Therapy OPTIM was started with one singular goal in mind.His practice is focused on integration of hands on manual therapy and exercise into a holistic, evidence-based and patient centered approach to physical therapy