| NPI | 1053029173 |
|---|---|
| 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 | 2022-11-08 |
| Last Update Date | 2023-02-20 |