| Impact Physical Medicine | |
|
1600 University Ave W Ste 10 Saint Paul MN 55104-3898 | |
| (651) 646-7246 | |
| (651) 641-0726 |
| Full Name | Impact Physical Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 University Ave W Ste 10, Saint Paul, Minnesota |
| Authorized Official Name and Position | Cynthia Jane Mueller (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 6122502995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physical Medicine 1600 University Ave W Ste 10 Saint Paul MN 55104-3898 Ph: (651) 646-7246 | Impact Physical Medicine 1600 University Ave W Ste 10 Saint Paul MN 55104-3898 Ph: (651) 646-7246 |
| NPI Number | 1689021586 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689021586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 105096 (Minnesota) | Primary |
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