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Organization

SHELTON RESTORATIVE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRIANNA LEHNING QUEIROS (VICE PRESIDENT)
(203) 513-3211
Entity
Organization

Contact information

Practice address
4 ARMSTRONG RD STE T120, SHELTON, CT 06484-4721
(203) 513-3211
Mailing address
4 ARMSTRONG RD STE T120, SHELTON, CT 06484-4721
(203) 513-3211

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184133738
NURSE PRACTITIONER
CT
Enumeration date
01/29/2024
Last updated
01/29/2024
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