Impact Sports Lab
NPI #1922857432 in Woburn, Massachusetts
Provider Information
- NPI Number
- 1922857432
- Entity Type
- Organization
- Organization Name
- Impact Sports Lab
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 16, 2024
- Last Updated
- May 16, 2024
Practice Location
- Address
- 220 W CUMMINGS PARK
- City
- Woburn
- State
- Massachusetts
- ZIP Code
- 01801-6346
- Phone
- (617) 549-6296
Authorized Official
- Name
- IAN CARRERA
- Title
- OWNER
- Phone
- (617) 549-6296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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