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Organization
IMPACT EDUCATION AND CONSULTING, LLC
Active
Organization
IMPACT EDUCATION AND CONSULTING, LLC
Active
Parent organization
IMPACT EDUCATION AND CONSULTING, LLC
Other names
Impact Therapy & Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPACT EDUCATION AND CONSULTING, LLC
Authorized official
ROLLANDA MOORE PT, DPT, RN, BSN, MS (CLINICAL DIRECTOR)
(321) 208-3891
Entity
Organization
Contact information
Practice address
6338 SNIDER RD UNIT 104, MASON, OH 45040-5105
(513) 204-9718
Mailing address
PO BOX 104, MASON, OH 45040-0104
(513) 204-9718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WR0400X
Rehabilitation Registered Nurse
—
NULL
163WR0400X
Rehabilitation Registered Nurse
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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