Powerback Rehabilitation LLC

NPI #1184205056 in Tillamook, Oregon

Provider Information

NPI Number: 1184205056
Entity Type: Organization
Organization Name: Powerback Rehabilitation LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 21, 2021
Last Updated: Mar 31, 2023

Practice Location

Address: 3500 12TH ST
City: Tillamook
State: Oregon
ZIP Code: 97141-2637
Phone: (971) 354-4267

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
Physical Therapist	225100000X	Primary

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