Organization
RESTORATIVE THERAPIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM JANICKI (CEO)
(800) 609-9166
Entity
Organization
Contact information
Practice address
8098 SANDPIPER CIR STE M, NOTTINGHAM, MD 21236-4928
(800) 609-9166
(410) 878-2466
Mailing address
8098 SANDPIPER CIR STE M, NOTTINGHAM, MD 21236-4928
(800) 609-9166
(443) 835-4947
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
-----------------
—
AZ
01
—
....................
MARYLAND RESIDENTIAL SERVICE AGENCY LICENSE FOR DURABLE MEDICAL EQUIPMENT
MD
01
—
....................
DEPARTMENT OF VETERANS AFFAIRS - CONTRACT AWARDED
—
05
—
....................
—
IL
05
—
....................
—
NM
05
—
....................
—
OR
05
—
....................
—
VA
Enumeration date
10/02/2006
Last updated
09/16/2022
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