Momentum Rehab LLC

NPI #1295125250 in Dexter, Michigan

Provider Information

NPI Number: 1295125250
Entity Type: Organization
Organization Name: Momentum Rehab LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 29, 2015
Last Updated: Jan 29, 2015

Practice Location

Address: 7926 ANN ARBOR ST
City: Dexter
State: Michigan
ZIP Code: 48130-1344
Phone: (734) 320-2497

Authorized Official

Name: DR. TERRY L BRACISZEWSKI, PH.D.
Title: DIRECTOR
Phone: (734) 320-2497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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