NPI | 1801281860 |
---|---|
Doing Business As | POWERBACK REHABILITATION |
Entity Type | Organization |
Authorized Contact | CARL ANTHONY SHROM Chief Executive Officer 215-896-0422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2015-04-06 |
Last Update Date | 2025-02-11 |