# MOMENTUM PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568710945
- **Authorized official:** MRS. MELANIE ANDREA EMBREE PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (541) 639-9770

## Contact information

- **Practice address:** 61971 KILDONAN COURT, BEND, OR 97702
- **Practice address phone:** (541) 639-9770
- **Mailing address:** 61971 KILDONAN COURT, BEND, OR 97702
- **Mailing address phone:** (541) 639-9770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 3932 | OR | Yes |

## Other

- **Enumeration date:** 08/16/2012
- **Last updated:** 08/16/2012