| Organization Name: | RESTORE PHYSICAL THERAPY AND WELLNESS CENTER INC. |
| NPI Number: | 1093059354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA JULIE YOUNG (PHYSICAL THERAPIST/ OWNER) |
| Mailing Address: | 220 Russell St Suite 400 Hadley |
| State: | MA US |
| Postal Code: | 010359542 |
| Phone Number: | 4133870722 |
| Fax Number: | 4133870723 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 17287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |