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Organization
PROGRESSIVE REHAB, INC.
Active
Organization
PROGRESSIVE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIEN HUBBARD (VICE PRESIDENT)
(662) 513-0850
Entity
Organization
Contact information
Practice address
428 N LAMAR BLVD, SUITE 109, OXFORD, MS 38655-3204
(662) 513-0850
Mailing address
428 N LAMAR BLVD, SUITE 109, OXFORD, MS 38655-3204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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