Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Case Management |
163WC0400X | |||
Mental Health |
101YM0800X | |||
Nutrition, Renal |
133VN1005X | 71 | Registered Dietitian or Nutrition Professional | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1639513708 |
||||
| LBN Legal business name | RESTORE HEALTHCARE | ||||
| Authorized official | CHRIS JARRETT - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/19/2013 | ||||
| Last updated | 06/29/2015 - About 11 years ago | ||||
| Identifiers |
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