# PROGRESSIVE REHABILITATION SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1669975496
- **Authorized official:** MR. STEVEN BEVILACQUA PTA (MBR)
- **Authorized official phone:** (215) 534-2381

## Contact information

- **Practice address:** 2494 CHESWICK LN, MOUNT PLEASANT, SC 29466-8638
- **Practice address phone:** (215) 534-2381
- **Mailing address:** 2494 CHESWICK LN, MOUNT PLEASANT, SC 29466-8638
- **Mailing address phone:** (215) 534-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 251E00000X | Home Health Agency | 3143 | SC | — |

## Other

- **Enumeration date:** 03/18/2018
- **Last updated:** 01/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | TH3758 | — | SC |