# SHELTON RESTORATIVE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972365609
- **Authorized official:** MRS. BRIANNA LEHNING QUEIROS (VICE PRESIDENT)
- **Authorized official phone:** (203) 513-3211

## Contact information

- **Practice address:** 4 ARMSTRONG RD STE T120, SHELTON, CT 06484-4721
- **Practice address phone:** (203) 513-3211
- **Mailing address:** 4 ARMSTRONG RD STE T120, SHELTON, CT 06484-4721
- **Mailing address phone:** (203) 513-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 01/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184133738 | NURSE PRACTITIONER | CT |