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Organization
EMPOWERED HOME THERAPY LLC
Active
Organization
EMPOWERED HOME THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN ROSALES (OWNER)
(260) 446-9685
Entity
Organization
Contact information
Practice address
10331 COPPER TREE PL, FORT WAYNE, IN 46804-4284
(260) 446-9685
Mailing address
10331 COPPER TREE PL, FORT WAYNE, IN 46804-4284
(260) 446-9685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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