NPI 1104320233

Powerback Rehabilitation LLC

Organisation Physical Therapist Lawton, OK

Practice location

Address: 501 SE Flower Mound Rd, Lawton, OK 73501-6388
Phone: (580) 771-3266
Mailing address: 101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name: Ian Oppel
Title: Coo
Phone: (980) 254-7007

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1104320233
Entity type: Organization
NPI issued: 22 Mar 2018
Record last updated: 6 Mar 2025

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.