Organization Name: | RESTORE HEALTHCARE |
NPI Number: | 1437533908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS JARRETT (EXECUTIVE DIRECTOR) |
Mailing Address: | 2764 Pleasant Rd Ste 10909 Fort Mill |
State: | SC US |
Postal Code: | 297087299 |
Phone Number: | 7045599408 |
Fax Number: | 7047310975 |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |