# RESTORALIVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restoralive
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093420135
- **Authorized official:** DARRELL NURSE DPT (MEMBER)
- **Authorized official phone:** (203) 460-0665

## Contact information

- **Practice address:** 19 SHERMAN CT, NEW HAVEN, CT 06511-4303
- **Practice address phone:** (203) 460-0665
- **Mailing address:** 19 SHERMAN CT, NEW HAVEN, CT 06511-4303
- **Mailing address phone:** (203) 460-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2023
- **Last updated:** 01/23/2023