| Restorative Expedition, Pllc | |
|
4820 Rusina Rd Ste C Colorado Springs CO 80907-8127 | |
| (719) 354-5378 | |
| Not Available |
| Full Name | Restorative Expedition, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4820 Rusina Rd Ste C, Colorado Springs, Colorado |
| Authorized Official Name and Position | Heather Orr (ONWER) |
| Authorized Official Contact | 7193545378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Expedition, Pllc 4820 Rusina Rd Ste C Colorado Springs CO 80907-8127 Ph: (719) 354-5378 | Restorative Expedition, Pllc 4820 Rusina Rd Ste C Colorado Springs CO 80907-8127 Ph: (719) 354-5378 |
| NPI Number | 1760162135 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 8628423027 |
|---|---|
| Medicare Enrollment ID | O20231004002178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760162135 | NPI | - | NPPES |
| Provider Name | Heather Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154080851 PECOS PAC ID: 9537514930 Enrollment ID: I20231004003148 |
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