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Organization
IMPULSE PHYSICAL THERAPY, PLLC
Active
Organization
IMPULSE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER PAUL PETERS PT, DPT, SCS, ATC (OWNER)
(716) 202-2477
Entity
Organization
Contact information
Practice address
5087 BROADWAY STE 100, DEPEW, NY 14043-4013
(716) 354-3212
(716) 503-2260
Mailing address
PO BOX 763, BUFFALO, NY 14231-0763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
12/29/2023
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