Impact Physical Therapy, LLC

NPI #1538499959 in Waterford, Michigan

Provider Information

NPI Number: 1538499959
Entity Type: Organization
Organization Name: Impact Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 7, 2010
Last Updated: Mar 30, 2010

Practice Location

Address: 5314 DIXIE HWY
City: Waterford
State: Michigan
ZIP Code: 48329-1611
Phone: (248) 623-0497

Authorized Official

Name: MR. ROMAN A KINAL, PT
Title: OWNER
Phone: (248) 623-0497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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