| Revitalife Therapy Llc | |
|
212 Billetts Bridge Rd Camden NC 27921-7505 | |
| (646) 661-3840 | |
| (252) 377-4231 |
| Full Name | Revitalife Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 212 Billetts Bridge Rd, Camden, North Carolina |
| Authorized Official Name and Position | Robby Ward (CO OWNER) |
| Authorized Official Contact | 6466613840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalife Therapy Llc 212 Billetts Bridge Rd Camden NC 27921-7505 Ph: (646) 661-3840 | Revitalife Therapy Llc 212 Billetts Bridge Rd Camden NC 27921-7505 Ph: (646) 661-3840 |
| NPI Number | 1477911329 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477911329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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