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Organization
RESTOR MEDICAL CENTER LLC
Active
Organization
RESTOR MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALBINO (PRESIDENT)
(937) 783-5257
Entity
Organization
Contact information
Practice address
639 W MAIN ST, BLANCHESTER, OH 45107-9401
(937) 783-5257
Mailing address
639 W MAIN ST, BLANCHESTER, OH 45107-9401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WM0705X
Medical-Surgical Registered Nurse
—
—
163WP0000X
Pain Management Registered Nurse
—
—
163WR0400X
Rehabilitation Registered Nurse
—
—
163WX0800X
Orthopedic Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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