NPI | 1972912384 |
---|---|
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 |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2014-08-11 |
Last Update Date | 2025-02-11 |