Organization
RESTORATIVE THERAPY COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECCA ELLIS PT, DPT (CEO)
(757) 286-1615
Entity
Organization
Contact information
Practice address
1004 FIRST COLONIAL RD STE 101, VIRGINIA BEACH, VA 23454-3070
(757) 578-2958
Mailing address
908 SAINT CIR, VIRGINIA BEACH, VA 23454-2813
(757) 335-2894
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
11/03/2020
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