Organization
POWER UP THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SORENSEN MOT/L (OCCUPATIONAL THERAPIST/OWNER)
(505) 803-7305
Entity
Organization
Contact information
Practice address
6622 GORDON RD STE L, WILMINGTON, NC 28411-8415
(910) 407-7211
(877) 800-9135
Mailing address
6622 GORDON RD STE L, WILMINGTON, NC 28411-8415
(910) 407-7211
(833) 623-7165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/01/2022
Last updated
09/20/2024
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