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Organization
PROGRESSIVE STEP CORP
Active
Organization
PROGRESSIVE STEP CORP
Active
Other names
Progressive Step at Delavan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MAASSEN (PRIVACY OFFICER)
(414) 908-8119
Entity
Organization
Contact information
Practice address
824 E GENEVA ST, SUITE B, DELAVAN, WI 53115-1932
(262) 728-5918
(262) 728-3093
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41811200
—
WI
Enumeration date
03/13/2007
Last updated
12/18/2007
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