Organization
RESTORATION CLINIC FREMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY H ASHBY (BILLING MANAGER)
(888) 907-9770
Entity
Organization
Contact information
Practice address
4535 MATTOS DR, FREMONT, CA 94536-6736
(888) 907-9770
Mailing address
1850 N CENTRAL AVE STE 1000, PHOENIX, AZ 85004-4509
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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