| Active Restoration Llc | |
|
2250 Morello Ave Pleasant Hill CA 94523-1860 | |
| (925) 287-1256 | |
| (925) 287-0913 |
| Full Name | Active Restoration Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2250 Morello Ave, Pleasant Hill, California |
| Authorized Official Name and Position | Gavin Westberg (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9252871256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Restoration Llc Po Box 23163 Pleasant Hill CA 94523-0163 Ph: (925) 287-1256 | Active Restoration Llc 2250 Morello Ave Pleasant Hill CA 94523-1860 Ph: (925) 287-1256 |
| NPI Number | 1942541669 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942541669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
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