| Neurowave Therapy Group Llc | |
|
7001 Washington Ave Mount Pleasant WI 53406-3814 | |
| (262) 833-5999 | |
| (262) 357-8431 |
| Full Name | Neurowave Therapy Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7001 Washington Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Miriam E Corona (OWNER) |
| Authorized Official Contact | 2624478999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurowave Therapy Group Llc 1920 90th St Sturtevant WI 53177-1806 Ph: (262) 833-5999 | Neurowave Therapy Group Llc 7001 Washington Ave Mount Pleasant WI 53406-3814 Ph: (262) 833-5999 |
| NPI Number | 1205660206 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 10/19/2024 |
| Certification Date | 10/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205660206 | NPI | - | NPPES |
| 1649745340 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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