Organization Name: | IMPACT PHYSIO |
NPI Number: | 1033459615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN SALVA (CO-OWNER) |
Mailing Address: | 276 E Grove St Suite 2 Clarks Green |
State: | PA US |
Postal Code: | 184111723 |
Phone Number: | 5703196903 |
Fax Number: | 5707965056 |
NPI Enumeration Date: | 02/19/2013 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT012829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |