Organization
IMPACTFUL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ADEYEMO CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(404) 452-1640
Entity
Organization
Contact information
Practice address
308 TOLLERTON AVE, SAINT JOHNS, FL 32259-6305
(404) 452-1640
Mailing address
308 TOLLERTON AVE, SAINT JOHNS, FL 32259-6305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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