Provider First Line Business Practice Location Address:
80 SOUTH PRESCOTT STREET
Provider Second Line Business Practice Location Address:
MOMENTUM PHYSICAL REHABILITATION, LLC
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38111-4635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-257-3422
Provider Business Practice Location Address Fax Number:
901-257-3423
Provider Enumeration Date:
07/16/2015