Modern Movement Physical Therapy Inc
Modern Movement Physical Therapy Inc provides Physical Therapist services in Santa Monica, California. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
630 Idaho Ave Apt 107Santa Monica, CA 90403-2711
Phone: (760) 637-9717
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1548932882 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alex Cascone — Physical Therapist · (760) 637-9717 |
| NPI enumerated | October 5, 2021 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | October 5, 2021 |
| Mailing address | 630 Idaho Ave Apt 107, Santa Monica, CA 90403-2711 |
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Dr. Jenna Anne Mlecko, PT, DPT
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Modern Movement Physical Therapy & Performance
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