Organization
WSSH POWERBACK REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM TRESS (EXECUTIVE VICE PRESIDENT)
(323) 928-9445
Entity
Organization
Contact information
Practice address
110 CHERRY ST, C/O SOLDIER'S HOME, HOLYOKE, MA 01040-7002
(323) 928-9445
Mailing address
9526 W PICO BLVD, LOS ANGELES, CA 90035-1202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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