Organization
CENTER FOR OPTIMAL MOVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL MCKENNA DPT (PRESIDENT)
(760) 909-2355
Entity
Organization
Contact information
Practice address
6125 PASEO DEL NORTE STE 100, CARLSBAD, CA 92011-1113
(760) 909-2355
(760) 448-5363
Mailing address
6125 PASEO DEL NORTE STE 100, CARLSBAD, CA 92011-1113
(760) 909-2355
(760) 448-5363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25475
CA
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
25475
CA
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
Update your record
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