Organization
RESTORED THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADINA VERRETT MYLES PT (OWNER)
(301) 452-4261
Entity
Organization
Contact information
Practice address
9372 CANTER DR, ELK GROVE, CA 95624-9461
(301) 452-4261
Mailing address
PO BOX 311, GLENELG, MD 21737-0311
(301) 452-4261
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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