Powerback Rehabilitation LLC
Clinic/Center, Rehabilitation in Boca Raton, FL. Organization (NPI-2).
NPI number1982155123
StatusActive
Last updated in NPPESApr 3, 2025
Details
- NPI
- 1982155123
- Entity type
- Organization (NPI-2)
- Legal business name
- Powerback Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2016
- Certification date
- Apr 3, 2025
- Last updated
- Apr 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
6061 Palmetto Cir NBoca Raton, FL 33433-3602
Phone 561-465-4030
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4560 · Fax 610-347-4147
Authorized official
Ian Oppel
Coo
9802547007
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