Organization
RESTORE THERAPY SERVICES LLC
Active
Other names
Next Level Therapy Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BREKELL VALES (HUMAN RESORCES)
(219) 427-0196
Entity
Organization
Contact information
Practice address
6100 MILLER AVENUE, GARY, IN 46403
(219) 427-0196
(219) 427-0197
Mailing address
6100 MILLER AVENUE, GARY, IN 46403
(219) 427-0196
(219) 427-0197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05002122A
IN
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
22003661A
IN
225X00000X
Occupational Therapist
Primary
31001112A
IN
225X00000X
Occupational Therapist
31004535A
IN
Other
Enumeration date
06/13/2011
Last updated
03/15/2017
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