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Organization
RESTORE PHYSICAL THERAPY, LLC
Active
Organization
RESTORE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRYAN HUTTINGER PT (PT/VICE PRESIDENT)
(856) 396-2500
Entity
Organization
Contact information
Practice address
230 N MAPLE AVE, SUITE G-10, MARLTON, NJ 08053-9400
(856) 396-2500
(856) 396-2525
Mailing address
230 N MAPLE AVE, SUITE G-10, MARLTON, NJ 08053-9400
(856) 396-2500
(856) 396-2525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00485800
NJ
225100000X
Physical Therapist
40QA00486300
NJ
Other
Enumeration date
08/04/2006
Last updated
12/03/2007
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