Organization
IMPACT PHYSICAL THERAPY - 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HEFFERON (AUTHORIZED OFFICIAL)
(623) 208-7575
Entity
Organization
Contact information
Practice address
20801 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85255-6487
(623) 208-7575
Mailing address
20801 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85255-6487
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
12/18/2019
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