Organization
RESTORE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JARRETT (EXECUTIVE DIRECTOR)
(704) 559-9409
Entity
Organization
Contact information
Practice address
2764 PLEASANT RD, STE 10909, FORT MILL, SC 29708-7299
(704) 559-9408
(704) 731-0975
Mailing address
2764 PLEASANT RD, STE 10909, FORT MILL, SC 29708-7299
(704) 559-9408
(704) 731-0975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457795510
—
NC
Enumeration date
07/15/2015
Last updated
07/22/2015
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