| Restorative Therapeutic Services | |
|
12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 | |
| (703) 884-7517 | |
| Not Available |
| Full Name | Restorative Therapeutic Services |
|---|---|
| Speciality | Counselor |
| Location | 12020 Sunrise Valley Dr Ste 100, Reston, Virginia |
| Authorized Official Name and Position | Anthonia Levy (MANAGING DIRECTOR) |
| Authorized Official Contact | 7038847517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Therapeutic Services 12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 Ph: (703) 884-7517 | Restorative Therapeutic Services 12020 Sunrise Valley Dr Ste 100 Reston VA 20191-3429 Ph: (703) 884-7517 |
| NPI Number | 1750714382 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750714382 | NPI | - | NPPES |
| AK37 | Other | CARE FIRST | |
| 0591041 00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LC4739 (Maryland) | Primary |
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