Impact Physical Therapy, LLC
NPI #1083655260 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1083655260
- Entity Type
- Organization
- Organization Name
- Impact Physical Therapy, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Feb 20, 2008
Practice Location
- Address
- 625 RAMSEY AVE
- Address 2
- SUITE B
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97527-5808
- Phone
- (541) 476-1919
Authorized Official
- Name
- CARIE A CAMPOS
- Title
- OFFICE MANAGER
- Phone
- (541) 476-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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