| NPI | 1285272062 |
|---|---|
| Other Name | IMPACT THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLYSON MOREAU SLAYTER Director 318-305-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2020-08-10 |