Healthcare Provider Details

I. General information

NPI: 1336611144
Provider Name (Legal Business Name): EMPOWER THERAPY AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 12/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 SAN REMO DR
JUPITER FL
33458-8732
US

IV. Provider business mailing address

5500 MILITARY TRL STE 22-152
JUPITER FL
33458-2869
US

V. Phone/Fax

Practice location:
  • Phone: 561-632-4369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMED H RASHWAN
Title or Position: CEO
Credential:
Phone: 561-632-4369