Organization Name: | RESTOR PHYSICAL THERAPY |
NPI Number: | 1023056140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R HORSLEY (PRESIDENT) |
Mailing Address: | 1235 Pear Ave Suite 101 Mountain View |
State: | CA US |
Postal Code: | 940431444 |
Phone Number: | 7146388693 |
Fax Number: | 7146383940 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |