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Organization
PROGRESSIVE REHAB, LLC
Active
Organization
PROGRESSIVE REHAB, LLC
Active
Other names
Progressive Rehab, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GUARNACCIA (PARTNER)
(215) 223-6548
Entity
Organization
Contact information
Practice address
2305 N. BROAD STREET, LOWER LEVEL, PHILADELPHIA, PA 19132
(215) 223-6548
(215) 245-5615
Mailing address
PO BOX 755, AMBLER, PA 19002-0755
(215) 223-6548
(215) 245-5615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004092L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2581987
AETNA
PA
01
—
32298
HEALTHPARTNERS
PA
Enumeration date
05/14/2007
Last updated
07/24/2008
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