Powerback Rehabilitation LLC

NPI #1144607284 in Rockford, Michigan

Provider Information

NPI Number: 1144607284
Entity Type: Organization
Organization Name: Powerback Rehabilitation LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 28, 2015
Last Updated: May 29, 2024

Practice Location

Address: 2885 10 MILE RD NE
City: Rockford
State: Michigan
ZIP Code: 49341-9177
Phone: (616) 326-0010

Authorized Official

Name: CARL ANTHONY SHROM
Title: CEO
Phone: (215) 896-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Physical Therapist	225100000X	Primary

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