| NPI | 1487294401 |
|---|---|
| Doing Business As | IMPACT PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STAN BABEL CEO 651-592-9402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |