Organization
POWERBACK REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LOCASCIO M.A. (SPEECH LANGUAGE PATHOLOGIST)
(973) 722-2015
Entity
Organization
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Mailing address
31 N MAPLE AVE, #308, MARLTON, NJ 08053-1700
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
TL-2326
NJ
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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