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Organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Active
Organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Active
Parent organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Other names
Clyde Progressive Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE THERAPY ALTERNATIVES, INC
Authorized official
DAWN MARIE TOLIVER (CREDENTIALING MANAGER)
(419) 866-5196
Entity
Organization
Contact information
Practice address
123 W BUCKEYE ST, CLYDE, OH 43410-1933
(419) 547-6651
(419) 547-6681
Mailing address
1560 HENTHORNE DR, MAUMEE, OH 43537-1371
(419) 866-5196
(419) 866-5663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392980
—
OH
01
—
05531A
PARAMOUNT
OH
01
—
1609899061
CORP NPI NUMBER
OH
01
—
23-2804807
RPN
OH
Enumeration date
04/16/2007
Last updated
06/08/2021
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