Organization
IMPACT THERAPY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M CAROSO (PRESIDENT)
(860) 416-7248
Entity
Organization
Contact information
Practice address
7414 SW 129TH CT, MIAMI, FL 33183-3452
(860) 416-7248
Mailing address
7414 SW 129TH CT, MIAMI, FL 33183-3452
(860) 416-7248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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