NPI 1265889158

Powerback Rehabilitation LLC

Organisation Rehabilitation Clinic/Center Beaver Dam, WI

Practice location

Address: 104 Fakes CT C/O Landmark at Charleston House, Beaver Dam, WI 53916-2699
Phone: (610) 925-4560
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

Ambulatory Health Care Facilities Taxonomy 261QR0400X

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1265889158
Entity type: Organization
NPI issued: 20 May 2016
Record last updated: 6 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.