# EMPOWER PHYSICAL THERAPY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518622158
- **Authorized official:** MS. JACKIE R BURDEN (MANAGER)
- **Authorized official phone:** (225) 931-4262

## Contact information

- **Practice address:** 7717 HOWELL BLVD, BATON ROUGE, LA 70807-5583
- **Practice address phone:** (225) 306-3013
- **Practice address fax:** (225) 396-5647
- **Mailing address:** PO BOX 74732, BATON ROUGE, LA 70874-4732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2021
- **Last updated:** 11/08/2021
