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Organization
PROGRESSIVE PHYSICAL THERAPY, PA
Active
Organization
PROGRESSIVE PHYSICAL THERAPY, PA
Active
Other names
Progressive Physical Therapy Northeast
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY FITCH DPT (PRESIDENT)
(803) 731-4055
Entity
Organization
Contact information
Practice address
10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 788-9950
(803) 462-9858
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0271
—
SC
Enumeration date
03/14/2012
Last updated
03/14/2012
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