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Organization
PROGRESSIVE PEDIATRIC THERAPY ASSOCIATES
Active
Organization
PROGRESSIVE PEDIATRIC THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL HENNIGAN OTR/L (PARTNER)
(215) 364-5515
Entity
Organization
Contact information
Practice address
45 TWIGKENHAM DR, RICHBORO, PA 18954-1406
(215) 364-5515
(215) 364-5515
Mailing address
45 TWIGKENHAM DR, RICHBORO, PA 18954-1406
(215) 364-5515
(215) 364-5515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526699000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
10/04/2007
Last updated
10/04/2007
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