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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