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Organization
PROGRESSIVE THERAPY CENTER INC
Active
Organization
PROGRESSIVE THERAPY CENTER INC
Active
Other names
Progressive Therapy Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MANVELL SLP (OWNER)
(714) 943-7146
Entity
Organization
Contact information
Practice address
3065 ROSECRANS PL STE 200, SAN DIEGO, CA 92110-4822
(619) 255-1497
Mailing address
3065 ROSECRANS PL STE 200, SAN DIEGO, CA 92110-4822
(619) 255-1497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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