Powerback Rehabilitation LLC

NPI #1881071926 in Jackson, Michigan

Provider Information

NPI Number: 1881071926
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: 5025 ANN ARBOR RD
Address 2: C/O LEGACY ASSISTED LIVING
City: Jackson
State: Michigan
ZIP Code: 49201-8801
Phone: (517) 879-1505

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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