Organization
MOMENTUM PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE ANDREA EMBREE PT (PHYSICAL THERAPIST)
(541) 639-9770
Entity
Organization
Contact information
Practice address
61971 KILDONAN COURT, BEND, OR 97702
(541) 639-9770
Mailing address
61971 KILDONAN COURT, BEND, OR 97702
(541) 639-9770
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3932
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230952
—
OR
Enumeration date
08/16/2012
Last updated
08/16/2012
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