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
1175 PROFESSIONAL CT, C/O SSA HAGERSTOWN ALF, LLC, HAGERSTOWN, MD 21740-5906
(301) 733-5015
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
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
02/27/2023
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