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Momentum Physical Therapy, LLC

Physical Therapist, Orthopedic in Bend, OR. Organization (NPI-2).

NPI number1497005243
StatusActive
Last updated in NPPESJan 26, 2017

Details

NPI
1497005243
Entity type
Organization (NPI-2)
Legal business name
Momentum Physical Therapy, LLC
Organization subpart
No
Enumeration date
Sep 19, 2012
Last updated
Jan 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic03932ORYes
261QP2000X Clinic/Center, Physical Therapy3932OR

Practice location

19134 Currier Dr
Bend, OR 97702

Phone 541-639-9770 · Fax 541-919-1839

Mailing address

19134 Currier Dr
Bend, OR 97702

Phone 541-639-9770 · Fax 541-919-1839

Authorized official

Melanie Andrea Embree
Physical Therapist/S&C Coach
5416399770

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