Organization
IMPACT SPORTS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA PLUMMER (CO-OWNER)
(410) 684-5642
Entity
Organization
Contact information
Practice address
121 INDUSTRY LN, FOREST HILL, MD 21050-1621
(410) 684-5642
(443) 632-0521
Mailing address
8816 DOVE DR, PERRY HALL, MD 21128-9000
(410) 684-5642
(443) 632-0521
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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