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Organization

IMPACT THERAPY OF GEORGIA

Active
Other names
Impact Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WENKEL SLP (OWNER/SLP)
(678) 910-3940
Entity
Organization

Contact information

Practice address
524 S HOUSTON LAKE RD STE B300, WARNER ROBINS, GA 31088-9042
(678) 910-3940
(404) 464-0819
Mailing address
107 GRAND VIEW AVE, KATHLEEN, GA 31047-2747
(678) 910-3940
(404) 464-0819

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/19/2016
Last updated
04/05/2019
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