Organization
MOMENTUM THERAPY SERVICES LLC
Active
Other names
Momentum
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUSSEIN IBRAHIM DPT (PRESIDENT/CEO)
(703) 333-5288
Entity
Organization
Contact information
Practice address
110 SPANISH OAK RD, STEPHENS CITY, VA 22655-4042
(703) 431-3202
(540) 301-0751
Mailing address
115 CREEKSIDE LN, WINCHESTER, VA 22602-2429
(703) 431-3202
(540) 301-0751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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