# RESTORE OCCUPATIONAL THERAPY

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

## Provider details

- **NPI number:** 1982065678
- **Authorized official:** PAM BRANT (OWNER)
- **Authorized official phone:** (570) 465-2027

## Contact information

- **Practice address:** 693 MAIN ST STE 2, NEW MILFORD, PA 18834-7200
- **Practice address phone:** (570) 465-2027
- **Practice address fax:** (570) 465-2028
- **Mailing address:** 693 MAIN ST STE 2, NEW MILFORD, PA 18834-7200
- **Mailing address phone:** (570) 465-2027
- **Mailing address fax:** (570) 465-2028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2016
- **Last updated:** 08/12/2016