Provider Demographics
NPI:1982292298
Name:EMPOWER MOBILE PHYSICAL THERAPY CORPORATION
Entity Type:Organization
Organization Name:EMPOWER MOBILE PHYSICAL THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-761-3211
Mailing Address - Street 1:1076 DRIFTING CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-6734
Mailing Address - Country:US
Mailing Address - Phone:808-284-9728
Mailing Address - Fax:858-244-9767
Practice Address - Street 1:1076 DRIFTING CIRCLE DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6734
Practice Address - Country:US
Practice Address - Phone:808-284-9728
Practice Address - Fax:858-244-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty