Organization
THE IMPACT INITIATIVE PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA BLAKE CARTER PT, DPT (PHYSICAL THERAPIST)
(706) 570-8878
Entity
Organization
Contact information
Practice address
857 HICKORY FLAT HWY, CANTON, GA 30115-3407
(678) 390-0609
Mailing address
335 WINSTON CIR, CANTON, GA 30114-8607
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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