Powerback Rehabilitation | |
435 Hamilton Blvd, South Boston, VA 24592-5201 | |
(800) 728-8808 | |
Not Available |
Full Name | Powerback Rehabilitation |
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Type | Facility |
Speciality | Physical Therapist |
Location | 435 Hamilton Blvd, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871241414 | NPI | - | NPPES |
Provider Name | Ekaterina Grace Mcclain |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124623194 PECOS PAC ID: 5294124210 Enrollment ID: I20211112002350 |
Provider Name | Dianna Boclair |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821037789 PECOS PAC ID: 5991028060 Enrollment ID: I20220623000101 |
Provider Name | Michael Ayares |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205589694 PECOS PAC ID: 4587045596 Enrollment ID: I20220722000766 |
Provider Name | Melissa Anderson Puryear |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1629490578 PECOS PAC ID: 4587047493 Enrollment ID: I20220810000817 |
Provider Name | Kelly Ann Griffith |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1629266069 PECOS PAC ID: 9931547205 Enrollment ID: I20240405000013 |
Provider Name | Kimberly Kosa |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1316480650 PECOS PAC ID: 9234571720 Enrollment ID: I20240529003608 |
Provider Name | Rebecca Elise Murdock |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1073078663 PECOS PAC ID: 0648712539 Enrollment ID: I20240606002746 |
Mailing Address | Practice Location Address |
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Powerback Rehabilitation 101 E State St, Kennett Square, PA 19348-3109 Ph: (800) 728-8808 | Powerback Rehabilitation 435 Hamilton Blvd, South Boston, VA 24592-5201 Ph: (800) 728-8808 |
Patrick Jaszcz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 Berry Hill Rd, South Boston, VA 24592 Phone: 434-572-8901 | |
Arjun Dutt, PT , MPT , DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 Berry Hill Rd, South Boston, VA 24592 Phone: 909-653-6648 |