Organization
MINDFUL MATTERS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNFIER HELEN LAVIN PT, DPT, MTC (PHYSICAL THERAPIST, MANAGING MEMBER)
(847) 366-0991
Entity
Organization
Contact information
Practice address
1845 N FARWELL AVE, STE 200, MILWAUKEE, WI 53202-1793
(847) 366-0991
Mailing address
2121 N CAMBRIDGE AVE, APT 304, MILWAUKEE, WI 53202-1000
(847) 366-0991
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
12283
WI
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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