# PROGRESSIVE SPINE & ORTHOPAEDICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROGRESSIVE SPINE & ORTHOPAEDICS, LLC
- **Other names:** Glen Rock Spine & Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013598150
- **Legal business name:** PROGRESSIVE SPINE & ORTHOPAEDICS, LLC
- **Authorized official:** DR. JOSHUA SETH ROVNER (PRESIDENT)
- **Authorized official phone:** (201) 227-1299

## Contact information

- **Practice address:** 208 HARRISTOWN RD LOWR LEVEL1, GLEN ROCK, NJ 07452-3308
- **Practice address phone:** (201) 425-1560
- **Mailing address:** 208 HARRISTOWN RD LOWR LEVEL1, GLEN ROCK, NJ 07452-3308
- **Mailing address phone:** (201) 425-1560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 04/20/2021
- **Last updated:** 04/21/2021