Organization
EMPOWERED THERAPY
Active
Organization
EMPOWERED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHUANTISE P. DUBOSE OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(570) 801-1902
Entity
Organization
Contact information
Practice address
912 MAIN ST, SUITE 104, STROUDSBURG, PA 18360-1641
(570) 801-1902
Mailing address
912 MAIN ST, SUITE 104, STROUDSBURG, PA 18360-1641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007133L
PA
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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