Organization
IMPACT MASSAGE THERAPY AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER SHERMAN PHYSICAL THERAPIST (OWNER)
(718) 432-1323
Entity
Organization
Contact information
Practice address
531 W 235TH ST SIDE ENTRANCE, BRONX, NY 10463-1795
(718) 432-1323
Mailing address
531 W 235TH ST SIDE ENTRANCE, BRONX, NY 10463-1795
(718) 432-1323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
01/03/2023
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