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NPI Code Detail

MEDICARE: IMPACT INJURY PHYSICAL THERAPY INC

MEDICARE: IMPACT INJURY PHYSICAL THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT41720CA

General Provider Information

NPI Number : 1780064162
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMPACT INJURY PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 2944 SANTA CARLOTTA ST
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91214-2022
Country : US
Telephone Number : 818-389-8997
Fax Number :
Provider Business Practice Location Address
First Line : 2944 SANTA CARLOTTA ST
Second Line :
City : LA CRESCENTA
State : CA
Zip : 91214-2022
Country : US
Telephone Number : 818-389-8997
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : NARBEH EMIN YERMIAN
Credential : R.P.T.
Telephone Number : 818-389-8997
Provider Enumeration Date : 06/01/2015
Last Update Date : 09/18/2022

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Directions to “IMPACT INJURY PHYSICAL THERAPY INC ” Practice Location

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