# RESTORE THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Next Level Therapy Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932494424
- **Authorized official:** BREKELL VALES (HUMAN RESORCES)
- **Authorized official phone:** (219) 427-0196

## Contact information

- **Practice address:** 6100 MILLER AVENUE, GARY, IN 46403
- **Practice address phone:** (219) 427-0196
- **Practice address fax:** (219) 427-0197
- **Mailing address:** 6100 MILLER AVENUE, GARY, IN 46403
- **Mailing address phone:** (219) 427-0196
- **Mailing address fax:** (219) 427-0197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 05002122A | IN | — |
| 225500000X | Respiratory/Developmental/Rehabilitative Specialist/Technologist | 22003661A | IN | — |
| 225X00000X | Occupational Therapist | 31001112A | IN | Yes |
| 225X00000X | Occupational Therapist | 31004535A | IN | — |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 03/15/2017