| NPI | 1093420135 |
|---|---|
| Doing Business As | RESTORALIVE |
| Entity Type | Organization |
| Authorized Contact | DARRELL NURSE Member 203-460-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |