Powerback Rehabilitation LLC
Clinic/Center, Rehabilitation in South Windsor, CT. Organization (NPI-2).
NPI number1962079699
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1962079699
- Entity type
- Organization (NPI-2)
- Legal business name
- Powerback Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Powerback Rehabilitation (Doing Business As)
Practice location
1715 Ellington RdSouth Windsor, CT 06074-2707
Phone 860-783-7923
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 800-728-8808
Authorized official
Ian Oppel
Coo
9802547007
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