Restoralive LLC

NPI #1093420135 in New Haven, Connecticut

Provider Information

NPI Number: 1093420135
Entity Type: Organization
Organization Name: Restoralive LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 23, 2023
Last Updated: Jan 23, 2023

Practice Location

Address: 19 SHERMAN CT
City: New Haven
State: Connecticut
ZIP Code: 06511-4303
Phone: (203) 460-0665

Authorized Official

Name: DARRELL NURSE, DPT
Title: MEMBER
Phone: (203) 460-0665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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