| NPI | 1750322608 | 
|---|---|
| Doing Business As | MOMENTUM | 
| Entity Type | Organization | 
| Authorized Contact | STEPHANIE M KELLY Practice Director 706-507-3794  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Enumeration Date | 2006-06-10 | 
| Last Update Date | 2007-08-01 |