# PROGRESSIVE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1851638266
- **Authorized official:** MS. MELISSA KEISLER (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (803) 758-2600

## Contact information

- **Practice address:** 10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
- **Practice address phone:** (803) 788-9950
- **Practice address fax:** (803) 462-9858
- **Mailing address:** 1818 HENDERSON ST, COLUMBIA, SC 29201-2619
- **Mailing address phone:** (803) 758-2600
- **Mailing address fax:** (803) 253-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 1925 | SC | Yes |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013