Organization
IMPAC REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MCVAY (PRESIDENT)
(504) 779-0400
Entity
Organization
Contact information
Practice address
4937 HEARST ST, SUITE 2F, METAIRIE, LA 70001-1120
(504) 779-0400
Mailing address
4937 HEARST ST, SUITE 2F, METAIRIE, LA 70001-1120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5922
LA
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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