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Organization
PROGRESSUS THERAPY
Active
Organization
PROGRESSUS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T RALPH (COO)
(800) 434-4686
Entity
Organization
Contact information
Practice address
5384 VEGAS DR # 1247, LAS VEGAS, NV 89108-2347
(800) 892-0640
Mailing address
5384 VEGAS DR # 1247, LAS VEGAS, NV 89108-2347
(800) 892-0640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
11/29/2018
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