# IMPACT PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689151334
- **Authorized official:** MR. CHRISTOPHER J. LANG PT (CO-OWNER)
- **Authorized official phone:** (732) 446-6270

## Contact information

- **Practice address:** 22 FARM TREE ROAD, MANALAPAN, NJ 07726
- **Practice address phone:** (732) 446-6270
- **Mailing address:** 22 FARM TREE RD, MANALAPAN, NJ 07726-3756
- **Mailing address phone:** (732) 446-6270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NJ | Yes |

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 07/25/2018