Provider Demographics
NPI:1295450914
Name:EMPOWER PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:EMPOWER PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SWETA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVARAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:732-710-5442
Mailing Address - Street 1:5 BRUNING RD
Mailing Address - Street 2:
Mailing Address - City:E BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1351
Mailing Address - Country:US
Mailing Address - Phone:732-710-5442
Mailing Address - Fax:
Practice Address - Street 1:5 BRUNING RD
Practice Address - Street 2:
Practice Address - City:E BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1351
Practice Address - Country:US
Practice Address - Phone:732-710-5442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy