Organization
IMPACT PHYSICAL THERAPY #4, LLC
Active
Organization
IMPACT PHYSICAL THERAPY #4, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HEFFERON PT, DPT (OWNER/CEO)
(602) 639-1066
Entity
Organization
Contact information
Practice address
1945 E CAMELBACK RD # PD01, PHOENIX, AZ 85016-4158
(623) 208-7575
Mailing address
7228 W EMILE ZOLA AVE, PEORIA, AZ 85381-5507
(623) 208-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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