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Organization
PROGRESSIVE PHYSICAL THERAPY, LLC
Active
Organization
PROGRESSIVE PHYSICAL THERAPY, LLC
Active
Parent organization
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Other names
PHOENIX Rehabilitation and Health Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Authorized official
LAUREN LAU (CREDENTIALING DIRECTOR)
(724) 989-4564
Entity
Organization
Contact information
Practice address
111 CHURCH ST NW STE 201, VIENNA, VA 22180-4536
(703) 272-8340
(703) 272-8365
Mailing address
430 INNOVATION DR, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/10/2022
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