Organization
EMPOWER THERAPEUTICS
Active
Organization
EMPOWER THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEARL RAITZIK (OTR/L)
(732) 598-4309
Entity
Organization
Contact information
Practice address
1003 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1264
(732) 598-4309
Mailing address
1003 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1264
(732) 598-4309
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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