Powerback Willow Grove
NPI #1548664675 in Hatboro, Pennsylvania
Provider Information
- NPI Number
- 1548664675
- Entity Type
- Organization
- Organization Name
- Powerback Willow Grove
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 17, 2014
- Last Updated
- Oct 17, 2014
Practice Location
- Address
- 3485 DAVISVILLE RD
- City
- Hatboro
- State
- Pennsylvania
- ZIP Code
- 19040-4220
- Phone
- (215) 830-5126
Authorized Official
- Name
- DR. KATHRYN BARRY
- Title
- PROGRAM MANAGER
- Phone
- (215) 830-5127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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