Organization
EMPOWERME PHYSICAL THERAPY, P.C.
Active
Organization
EMPOWERME PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID CHURCH (VICE PRESIDENT OF FINANCE)
(618) 972-5228
Entity
Organization
Contact information
Practice address
3950 LONE TREE WAY, ANTIOCH, CA 94509-6271
(844) 502-7996
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(844) 502-7996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/27/2022
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