NPI | 1053878033 |
---|---|
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 | 2019-02-26 |
Last Update Date | 2024-01-02 |