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Organization
MODERN MOVEMENT PHYSICAL THERAPY & PERFORMANCE
Active
Organization
MODERN MOVEMENT PHYSICAL THERAPY & PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX CASCONE DPT PT (CEO/PHYSICAL THERAPIST)
(760) 637-9717
Entity
Organization
Contact information
Practice address
1450 5TH ST STE 100, SANTA MONICA, CA 90401-2574
(760) 637-9717
Mailing address
1450 5TH ST STE 100, SANTA MONICA, CA 90401-2574
(760) 637-9717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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