Organization
RESTORATIVE INNOVATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA MANOS (PRESIDENT)
(610) 630-8400
Entity
Organization
Contact information
Practice address
54 S TROOPER RD, NORRISTOWN, PA 19403-3060
(610) 630-8400
(610) 630-4408
Mailing address
54 S TROOPER RD, NORRISTOWN, PA 19403-3060
(610) 630-8400
(610) 630-4408
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002056000
IBC PROVIDER #
PA
05
—
0018630630004
—
PA
01
—
009115021
VA MEDICAID PROVIDER #
VA
01
—
292954
HIGHMARK PROVIDER #
PA
Enumeration date
07/12/2006
Last updated
02/10/2017
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