Organization
IMPACT HEALTH AND PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D MILLEN PT (OWNER)
(727) 785-8737
Entity
Organization
Contact information
Practice address
180 ALT 19N, SUITE B, PALM HARBOR, FL 34683-5308
(727) 785-8737
(727) 786-8546
Mailing address
180 ALT 19N, SUITE B, PALM HARBOR, FL 34683-5308
(727) 785-8737
(727) 786-8546
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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