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Organization
PROGRESS SPEECH & LANGUAGE PATHOLOGY CENTER, INC.
Active
Organization
PROGRESS SPEECH & LANGUAGE PATHOLOGY CENTER, INC.
Active
Other names
Progress Speech & Language Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JEONG (OFFICE MANAGER)
(714) 542-1234
Entity
Organization
Contact information
Practice address
217 W CERRITOS AVE, ANAHEIM, CA 92805-6549
(714) 776-1231
(714) 776-0802
Mailing address
2020 N BROADWAY STE 101, SANTA ANA, CA 92706-2622
(714) 776-1231
(714) 776-0802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 40121
CA
225X00000X
Occupational Therapist
OT 14047
CA
235Z00000X
Speech-Language Pathologist
Primary
SP12464
CA
Other
Enumeration date
07/08/2010
Last updated
11/07/2014
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