| NPI | 1033511704 | 
|---|---|
| Doing Business As | POWERBACK REHABILITATION | 
| Entity Type | Organization | 
| Authorized Contact | CARL ANTHONY SHROM CEO 215-896-0422  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation | 
| Enumeration Date | 2014-09-24 | 
| Last Update Date | 2023-03-02 |