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General NPI Number Information
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NPI Number | 1265674105
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Entity Type | Organization
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Legal Business Name | MOMENTUM PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 141 MAIN STREET
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City | MILFORD
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State | MA
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Zip | 01757
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Country | US
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Telephone | 508-422-0101
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Fax | 508-422-0102
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Provider Business Mailing Address
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Address Line | 141 MAIN STREET
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City | MILFORD
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State | MA
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Zip | 01757
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Country | US
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Telephone | 508-422-0101
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Fax | 508-422-0102
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Authorized Official
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Title or Position | OWNER, VICE PRESIDENT
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Name | MS. KRISTIN MOHR
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Credential | MSPT
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Telephone | 508-422-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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