Organization
RESTORE PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. RAYBORN IV PT (PRESIDENT)
(601) 765-2900
Entity
Organization
Contact information
Practice address
10 MELODY LN, COLLINS, MS 39428-9002
(601) 765-2900
(601) 765-2903
Mailing address
10 MELODY LN, COLLINS, MS 39428-9002
(601) 765-2900
(601) 765-2903
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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