NPI | 1063839603 |
---|---|
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 | 2014-03-20 |
Last Update Date | 2023-03-01 |