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Restore Mobile Therapy LLC

Occupational Therapist in Brookfield, CT. Organization (NPI-2).

NPI number1205451663
StatusActive
Last updated in NPPESJun 11, 2020

Details

NPI
1205451663
Entity type
Organization (NPI-2)
Legal business name
Restore Mobile Therapy LLC
Organization subpart
No
Enumeration date
Jun 11, 2020
Certification date
Jun 11, 2020
Last updated
Jun 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

6 Logging Trail Ln
Brookfield, CT 06804-1345

Phone 203-739-5752

Mailing address

6 Logging Trail Ln
Brookfield, CT 06804-1345

Phone 203-739-5752

Authorized official

Stacey McVor
Owner
2037395752

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