NPI 1083012751
Powerback Rehabilitation LLC
Practice location
- Address
- 2778 Country Club Dr C/O Woodbury Wellness Center, Hampstead, NC 28443-8028
- Phone
- (910) 821-1035
- Mailing address
- 101 E State St C/O Amy Nunemaker, Kennett Square, PA 19348-3109
Authorised official
- Name
- Carl Anthony Shrom
- Title
- Ceo
- Phone
- (215) 896-0422
Registered specialties
Rehabilitation Clinic/Center
Primary
Registry record
- NPI
- 1083012751
- Entity type
- Organization
- NPI issued
- 12 Dec 2014
- Record last updated
- 1 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.