Powerback Rehabilitation LLC
NPI #1093498610 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1093498610
- Entity Type
- Organization
- Organization Name
- Powerback Rehabilitation LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Aug 10, 2023
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 1515 KINGSRIDGE DR
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73170-4475
- Phone
- (405) 676-7274
Authorized Official
- Name
- CARL ANTHONY SHROM
- Title
- CEO
- Phone
- (215) 896-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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