Organization
MOMENTUM THERAPY SERVICES OF MISSISSIPPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER GREEN (OWNER)
(601) 954-7708
Entity
Organization
Contact information
Practice address
532 KAVANAUGH DR, VICKSBURG, MS 39180-4566
(601) 954-7708
Mailing address
532 KAVANAUGH DR, VICKSBURG, MS 39180-4566
(601) 954-7708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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