| Restorative Therapy For Wellness | |
|
2500 Quantum Lakes Dr Ste 105 Boynton Beach FL 33426-8308 | |
| (561) 602-4554 | |
| Not Available |
| Full Name | Restorative Therapy For Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 2500 Quantum Lakes Dr Ste 105, Boynton Beach, Florida |
| Authorized Official Name and Position | Richard Warren (CEO) |
| Authorized Official Contact | 5616024554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Therapy For Wellness 5022 Victoria Cir Ste 105 West Palm Beach FL 33409-7850 Ph: (561) 602-4554 | Restorative Therapy For Wellness 2500 Quantum Lakes Dr Ste 105 Boynton Beach FL 33426-8308 Ph: (561) 602-4554 |
| NPI Number | 1992370910 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/21/2021 |
| Medicare PECOS PAC ID | 4789057050 |
|---|---|
| Medicare Enrollment ID | O20230307002756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992370910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard Tracy Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053838763 PECOS PAC ID: 5698148963 Enrollment ID: I20230307003232 |
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