Organization
ACTIVE RESTORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN WESTBERG (DIRECTOR OF OPERATIONS)
(925) 287-1256
Entity
Organization
Contact information
Practice address
2250 MORELLO AVE, PLEASANT HILL, CA 94523-1860
(925) 287-1256
(925) 287-0913
Mailing address
PO BOX 23163, PLEASANT HILL, CA 94523-0163
(925) 287-1256
(925) 287-0913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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