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Organization
MOMENTUM PERFORMANCE & PHYSICAL THERAPY
Active
Organization
MOMENTUM PERFORMANCE & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA FREEMAN-PANCOAST PT (OWNER/PHYSICAL THERAPIST)
(850) 974-3297
Entity
Organization
Contact information
Practice address
734 NE BAKER ST, MCMINNVILLE, OR 97128-4927
(503) 376-4224
Mailing address
1942 NW KALE WAY, MCMINNVILLE, OR 97128-1628
(503) 376-4224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
01/14/2026
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