Organization
RESTORATIVE TECHNOLOGY REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TEREBELO (EXECUTIVE DIRECTOR)
(917) 371-5751
Entity
Organization
Contact information
Practice address
310 2ND ST, LAKEWOOD, NJ 08701-3351
(732) 334-8019
Mailing address
310 2ND ST, LAKEWOOD, NJ 08701-3351
(917) 371-5751
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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