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Organization
POWERBACK REHABILITATION LLC
Active
Organization
POWERBACK REHABILITATION LLC
Active
Other names
Powerback Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
IAN OPPEL (COO)
(980) 254-7007
Entity
Organization
Contact information
Practice address
1167 TEA ROSE CIR, SAN JOSE, CA 95131-3557
(213) 255-4835
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 728-8808
(610) 347-4147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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