Organization
POWERBACK REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH AVERY DPT (DPT)
(618) 554-2907
Entity
Organization
Contact information
Practice address
4115 STATE ROAD 91 APT 207, OSHKOSH, WI 54904-9224
(618) 554-2907
Mailing address
4115 STATE ROAD 91 APT 207, OSHKOSH, WI 54904-9224
(618) 554-2907
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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