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Organization

PROGRESSIVE THERAPY ALTERNATIVES, INC

Active
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Organization

PROGRESSIVE THERAPY ALTERNATIVES, INC

Active
Parent organization
PROGRESSIVE THERAPY ALTERNATIVES, INC
Other names
PROGRESSIVE THERAPY, Progressive Therapy Alternatives
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
1560 HENTHORNE DR, MAUMEE, OH 43537-1371
(419) 866-5275
(419) 866-5663
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
COMPANY NPI
OH
01
23-2804807
RPN
OH
Enumeration date
07/26/2006
Last updated
06/08/2021
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