| NPI | 1013360601 |
|---|---|
| Doing Business As | IMPACT THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WENKEL Owner/Slp 678-910-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-04-05 |