Organization
IMPACT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY QUIN PREJEAN MS, CCC-SLP (CLINIC DIRECTOR)
(850) 325-6301
Entity
Organization
Contact information
Practice address
1717 HERMITAGE BLVD, TALLAHASSEE, FL 32308-7709
(850) 325-6301
(850) 325-6302
Mailing address
1717 HERMITAGE BLVD, TALLAHASSEE, FL 32308-7709
(850) 325-6301
(850) 325-6302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891453200
—
FL
Enumeration date
07/01/2021
Last updated
06/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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