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Organization
MOMENTUM PHYSICAL THERAPY
Active
Organization
MOMENTUM PHYSICAL THERAPY
Active
Other names
Momentum Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M IVERSON-LEE MPT (OWNER)
(530) 615-4557
Entity
Organization
Contact information
Practice address
526 BRUNSWICK RD, GRASS VALLEY, CA 95945-9392
(530) 615-4557
(530) 615-4312
Mailing address
140 LITTON DR STE 200, GRASS VALLEY, CA 95945-5080
(530) 615-4557
(530) 615-4312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
02/27/2024
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