Organization
IMPACT OCCUPATIONAL THERAPY & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NPONDA NADJOMBE OT (OWNER)
(240) 535-5258
Entity
Organization
Contact information
Practice address
8101 NORMANDALE LAKE BLVD UNIT 205, BLOOMINGTON, MN 55437-4105
(240) 535-5258
Mailing address
8101 NORMANDALE LAKE BLVD UNIT 205, BLOOMINGTON, MN 55437-4105
(240) 535-5258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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