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Organization
PROGRESSIVE NEURO THERAPY PLLC
Active
Organization
PROGRESSIVE NEURO THERAPY PLLC
Active
Other names
PROGRESSIVE NEURO THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTA RAE SIMMONS OT (OCCUPATIONAL THERAPIST/OWNER)
(512) 200-2332
Entity
Organization
Contact information
Practice address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Mailing address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
106204
TX
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
106204
TX
Other
Enumeration date
08/20/2008
Last updated
02/19/2013
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