Powerback Rehabilitation LLC
NPI #1265889158 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1265889158
- Entity Type
- Organization
- Organization Name
- Powerback Rehabilitation LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- May 20, 2016
- Last Updated
- Mar 6, 2023
Practice Location
- Address
- 104 FAKES CT
- Address 2
- C/O LANDMARK AT CHARLESTON HOUSE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2699
- Phone
- (610) 925-4560
Authorized Official
- Name
- CARL ANTHONY SHROM
- Title
- CEO
- Phone
- (215) 896-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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