Organization
RESTORE THERAPY AND WELLNESS, INC.
Active
Other names
Coastal Fitness & Rehablilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN NICHOLAS KOLMETZ PT (PRESIDENT)
(850) 638-8447
Entity
Organization
Contact information
Practice address
877 THIRD STREET, SUITE 1, CHIPLEY, FL 32428
(850) 638-8447
(850) 638-9217
Mailing address
877 THIRD STREET, SUITE 1, CHIPLEY, FL 32428
(850) 638-8447
(850) 638-9217
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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