Organization
EMPOWER PEDIATRIC PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GERARD O'GRADY PT, MS (OWNER)
(434) 548-0200
Entity
Organization
Contact information
Practice address
1736 JUMPERS RUN, CHARLOTTESVILLE, VA 22911-7556
(434) 989-1475
Mailing address
1736 JUMPERS RUN, CHARLOTTESVILLE, VA 22911-7556
(434) 989-1475
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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