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Organization

IMPACT PHYSICAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IRINA NOSOVA P.T. (DIRECTOR, PHYSICAL THERAPIST)
(415) 883-8323
Entity
Organization

Contact information

Practice address
3150 CALIFORNIA ST, SUITE #3, SAN FRANCISCO, CA 94115-2464
(415) 775-2319
(415) 775-0852
Mailing address
3150 CALIFORNIA ST, SUITE #3, SAN FRANCISCO, CA 94115-2464
(415) 775-2319
(415) 775-0852

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0PT218960
CA

Other

Enumeration date
09/15/2006
Last updated
10/10/2008
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