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Organization
RESTORE MOBILE THERAPY LLC
Active
Organization
RESTORE MOBILE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MCVOR OTR (OWNER)
(203) 739-5752
Entity
Organization
Contact information
Practice address
6 LOGGING TRAIL LN, BROOKFIELD, CT 06804-1345
(203) 739-5752
Mailing address
6 LOGGING TRAIL LN, BROOKFIELD, CT 06804-1345
(203) 739-5752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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