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Oklahoma Institute of Orthopedic Manual Therapy Home / Oklahoma Institute of Orthopedic Manual Therapy Oklahoma Physical Therapy Spine Care-Rehab, LLC ( OPT ) offers a 12-month fellowship program in orthopedic manual therapy. It has a strong emphasis towards the Norwegian and Osteopathic approaches to manual therapy with added components from the Maitland approach ; additionally there is strong emphasis on therapeutic exercise and movement science. The course work is offered at OPT North. OPT North is a 9, 000 square-foot outpatient physical therapy and training center in northwest Oklahoma City that specializes in orthopedic physical therapy, spine rehabilitation and preventive physical trainin