Organization
IMPACT REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE L FEUILLE OTR/L (OCCUPATIONAL THERAPIST)
(718) 578-1300
Entity
Organization
Contact information
Practice address
10104 SANDYWOOD DR, SANFORD, FL 32771-7246
(718) 578-1300
Mailing address
10104 SANDYWOOD DR, SANFORD, FL 32771-7246
(718) 578-1300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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