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Organization
PROGRESSIVE PHYSICAL THERAPY, PA
Active
Organization
PROGRESSIVE PHYSICAL THERAPY, PA
Active
Other names
Progressive Physical Therapy North Myrtle Beach
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY E FITCH DPT (PRESIDENT)
(803) 731-4055
Entity
Organization
Contact information
Practice address
218 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2938
(843) 491-2041
(843) 272-1344
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2602
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
NULL
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0231
—
SC
Enumeration date
07/09/2015
Last updated
07/09/2015
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