Organization
FORWARD MOMENTUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN SULLIVAN (OCCUPATIONAL THERAPIST)
(314) 520-4646
Entity
Organization
Contact information
Practice address
197 SHANE DR, CENTERTON, AR 72719-9707
(314) 520-4646
Mailing address
197 SHANE DR, CENTERTON, AR 72719-9707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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