| NPI | 1518507292 |
|---|---|
| Doing Business As | EMPOWER LIFE FITNESS |
| Entity Type | Organization |
| Authorized Contact | TARA SOCQUET Owner 650-814-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-05-26 |