Powerback Rehabilitation LLC
NPI #1083012751 in Hampstead, North Carolina
Provider Information
- NPI Number
- 1083012751
- Entity Type
- Organization
- Organization Name
- Powerback Rehabilitation LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Dec 12, 2014
- Last Updated
- Mar 1, 2023
Practice Location
- Address
- 2778 COUNTRY CLUB DR
- Address 2
- C/O WOODBURY WELLNESS CENTER
- City
- Hampstead
- State
- North Carolina
- ZIP Code
- 28443-8028
- Phone
- (910) 821-1035
Authorized Official
- Name
- CARL ANTHONY SHROM
- Title
- CEO
- Phone
- (215) 896-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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