# PROGRESSIVE SPINAL AND SPORTS REHABILITATION, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598802423
- **Authorized official:** DR. JOHN H PARK D.C. (OWNER)
- **Authorized official phone:** (240) 477-8719

## Contact information

- **Practice address:** 15200 SHADY GROVE RD, SUITE 211, ROCKVILLE, MD 20850-3218
- **Practice address phone:** (240) 477-8719
- **Mailing address:** 15200 SHADY GROVE RD, SUITE 211, ROCKVILLE, MD 20850-3218
- **Mailing address phone:** (240) 477-8719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 02093 | MD | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 02/02/2010