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 |