Organization
EMPOWER ADVANCED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE N GAGLIANO PT (PART OWNER)
(847) 970-2592
Entity
Organization
Contact information
Practice address
407 E TERRA COTTA AVE STE E, CRYSTAL LAKE, IL 60014-3602
(847) 766-0011
(847) 999-6722
Mailing address
407 E TERRA COTTA AVE STE E, CRYSTAL LAKE, IL 60014-3602
(847) 766-0011
(847) 999-6722
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
11/14/2024
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