Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1083185698 |
| LBN Legal business name | POWERBACK REHABILITATION LLC |
| Authorized official | IAN OPPEL - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/07/2018 |
| Last updated | 03/12/2025 - More than a year ago |
| Identifiers | n/a |
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