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1174709430
IMPACT PHYSICAL THERAPY, LLC
LEBANON, TN
NPI
1174709430
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Entity Type
Organization
Authorized Contact
JOHN BOUCHER
Owner
615-453-1422
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2008-01-17
Last Update Date
2023-05-12
Business Address
IMPACT PHYSICAL THERAPY, LLC
1430 W BADDOUR PKWY SUITE C
LEBANON, TN 37087-2514
Phone number: 615-453-1422
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Mailing Address
IMPACT PHYSICAL THERAPY, LLC
1430 W BADDOUR PKWY STE C
LEBANON, TN 37087-2656
Phone number: 615-453-1422
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