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Organization

EMPOWER PHYSICAL THERAPY AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ANNE LAUSTEN PT (PT AND OWNER)
(703) 944-7675
Entity
Organization

Contact information

Practice address
22 FAIRFAX ST SE, LEESBURG, VA 20175-3616
(703) 669-6100
(703) 669-6101
Mailing address
20817 MINTWOOD CT, ASHBURN, VA 20147-4003
(703) 944-7675
(703) 669-6101

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/13/2021
Last updated
07/13/2021
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