Organization
IMPACT PHYSICAL MEDICINE
Active
Organization
IMPACT PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA JANE MUELLER M.A. (OCCUPATIONAL THERAPIST)
(612) 250-2995
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104-3898
(651) 646-7246
(651) 641-0726
Mailing address
1600 UNIVERSITY AVE W STE 10, SAINT PAUL, MN 55104-3898
(651) 646-7246
(651) 641-0726
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
105096
MN
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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