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Organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Active
Organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Active
Parent organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Other names
Progressive West Physical 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
3030 W SYLVANIA AVE STE 107, TOLEDO, OH 43613-4147
(419) 475-2001
(419) 475-2006
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
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392980
—
OH
01
—
05531A
PARAMOUNT
OH
01
—
1609899061
CORP NPI
OH
01
—
23-2804807
RPN
OH
Enumeration date
06/01/2009
Last updated
06/08/2021
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