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Organization
EMPOWERED PELVIC HEALTH LLC
Active
Organization
EMPOWERED PELVIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY GOSSARD PT, DPT, OCS, PRPC (OWNER)
(201) 315-3063
Entity
Organization
Contact information
Practice address
160 SUMMIT AVE STE 204, MONTVALE, NJ 07645-1763
(201) 305-0130
Mailing address
160 SUMMIT AVE STE 204, MONTVALE, NJ 07645-1763
(201) 305-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
01/24/2023
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