Organization
MOMENTUM MOVEMENT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCNEIL LMT, CFSS (OWNER)
(262) 373-8765
Entity
Organization
Contact information
Practice address
400 W MORELAND BLVD STE A, WAUKESHA, WI 53188-2425
(262) 373-8765
Mailing address
400 W MORELAND BLVD STE A, WAUKESHA, WI 53188-2425
(262) 373-8765
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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