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Organization
RESTORE OCCUPATIONAL THERAPY
Active
Organization
RESTORE OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM BRANT (OWNER)
(570) 465-2027
Entity
Organization
Contact information
Practice address
693 MAIN ST STE 2, NEW MILFORD, PA 18834-7200
(570) 465-2027
(570) 465-2028
Mailing address
693 MAIN ST STE 2, NEW MILFORD, PA 18834-7200
(570) 465-2027
(570) 465-2028
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
08/12/2016
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