Powerback Rehabilitation LLC
NPI #1669241675 in Charleston, South Carolina
Provider Information
- NPI Number
- 1669241675
- Entity Type
- Organization
- Organization Name
- Powerback Rehabilitation LLC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Jan 2, 2024
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 1925 ESSEX FARMS DR
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29414-6696
- Phone
- (843) 823-5254
Authorized Official
- Name
- CARL ANTHONY SHROM
- Title
- CEO
- Phone
- (215) 896-0422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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