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Organization

POWERBACK REHABILITATION LLC

Active
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Organization

POWERBACK REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL ANTHONY SHROM (CEO)
(215) 896-0422
Entity
Organization

Contact information

Practice address
44003 PARTRIDGE CREEK BLVD, CLINTON TWP, MI 48038-0002
(586) 231-5580
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4560

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QR0400X
Rehabilitation Clinic/Center

Other

Enumeration date
04/28/2015
Last updated
05/29/2024
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