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Organization

EMPOWER THERAPEUTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA J RUSSELL ODT; OTR/L (MANAGER)
(907) 227-2434
Entity
Organization

Contact information

Practice address
4050 LAKE OTIS PKWY STE 211, ANCHORAGE, AK 99508-5221
(907) 227-2434
Mailing address
4050 LAKE OTIS PKWY STE 211, ANCHORAGE, AK 99508-5221
(907) 227-2434

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225379092
AK
Enumeration date
03/04/2022
Last updated
03/04/2022
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