Organization
RESTORATIVE TECHNOLOGY REHABILITATION LLC
Active
Organization
RESTORATIVE TECHNOLOGY REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTY TEREBELO (OWNER)
(732) 994-8019
Entity
Organization
Contact information
Practice address
4015 14TH AVE, BROOKLYN, NY 11218-3507
(732) 994-8019
Mailing address
4015 14TH AVE, BROOKLYN, NY 11218-3507
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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