| Bridge To Restoration Therapy Services | |
|
2920 Fuller Ave Ne Ste 110 Grand Rapids MI 49505-3458 | |
| (616) 885-2476 | |
| Not Available |
| Full Name | Bridge To Restoration Therapy Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2920 Fuller Ave Ne Ste 110, Grand Rapids, Michigan |
| Authorized Official Name and Position | Hasina J Bankston (OWNER) |
| Authorized Official Contact | 6168852476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge To Restoration Therapy Services 3373 Sandyhook Ct Se Kentwood MI 49512-5281 Ph: (616) 885-2476 | Bridge To Restoration Therapy Services 2920 Fuller Ave Ne Ste 110 Grand Rapids MI 49505-3458 Ph: (616) 885-2476 |
| NPI Number | 1033888375 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033888375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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