Organization
BRIDGE TO RESTORATION THERAPY SERVICES
Active
Other names
Bridge To Restoration Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HASINA J BANKSTON LMSW (OWNER)
(616) 885-2476
Entity
Organization
Contact information
Practice address
2920 FULLER AVE NE STE 208, GRAND RAPIDS, MI 49505-3458
(616) 885-2476
(616) 383-9009
Mailing address
3373 SANDYHOOK CT SE, KENTWOOD, MI 49512-5281
(616) 885-2476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
01/30/2026
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