Organization
IMPACT PHYSICAL MEDICINE AND AQUATIC CENTER
Active
Other names
IMPACT Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY BABEL (CEO)
(651) 999-1030
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W, SUITE 10, SAINT PAUL, MN 55104-3898
(651) 646-7246
(651) 641-0726
Mailing address
1600 UNIVERSITY AVE W, SUITE 10, SAINT PAUL, MN 55104-3898
(651) 646-7246
(651) 641-0726
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
12/30/2022
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