Organization
IMPACT KIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA STROM PT (PRESIDENT)
(305) 672-4464
Entity
Organization
Contact information
Practice address
451 ARTHUR GODFREY RD, MIAMI BEACH, FL 33140-3503
(305) 672-4464
(305) 672-4484
Mailing address
451 ARTHUR GODFREY RD, MIAMI BEACH, FL 33140-3503
(305) 672-4464
(305) 672-4484
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT7470
FL
261QR0400X
Rehabilitation Clinic/Center
SA8858
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892667100
—
FL
Enumeration date
12/11/2007
Last updated
06/11/2008
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