Organization
EMPOWERED PELVIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY GOSSARD PT, DPT, OCS, PRPC (OWNER)
(201) 315-3063
Entity
Organization
Contact information
Practice address
160 SUMMIT AVE STE 204, MONTVALE, NJ 07645-1763
(201) 305-0130
Mailing address
160 SUMMIT AVE STE 204, MONTVALE, NJ 07645-1763
(201) 305-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
01/24/2023
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