Organization
EMPOWER LIFE FITNESS LLC
Active
Other names
Empower Life Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SOCQUET PT (OWNER)
(650) 814-9868
Entity
Organization
Contact information
Practice address
2515 NW 47TH AVE, CAMAS, WA 98607-8314
(650) 814-9868
Mailing address
2515 NW 47TH AVE, CAMAS, WA 98607-8314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
05/26/2020
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