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Organization

MOMENTUM THERAPY ASSOCIATES, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY WHIGHAM OTR/C (OCCUPATIONAL THERAPIST/PRESIDENT)
(251) 379-2233
Entity
Organization

Contact information

Practice address
4520 CREEKSIDE CV, ATLANTA, GA 30349-3957
(251) 379-2233
Mailing address
4520 CREEKSIDE CV, ATLANTA, GA 30349-3957
(251) 379-2233

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004293
GA

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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