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Organization
POWERBACK REHABILITATION LLC
Active
Organization
POWERBACK REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN OPPEL (COO)
(980) 254-7007
Entity
Organization
Contact information
Practice address
4775 VILLAGE DR, GRAND LEDGE, MI 48837-8107
(517) 412-2240
Mailing address
101 E STATE ST, C/O AMY NUNEMAKER, 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
02/11/2016
Last updated
05/30/2025
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