| NPI | 1972097657 |
|---|---|
| Doing Business As | IMPACT REHABILITATION AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KRISTINE G SIEGENTHALER Owner 918-809-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-08-18 |