Organization
PROGRESSIONS THERAPY @ COPPER MOUNTAIN INN, INC
Active
Parent organization
COPPER MOUNTAIN INN, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COPPER MOUNTAIN INN, INC
Authorized official
PAULA MITCHELL (ADMINISTRATOR)
(928) 425-5721
Entity
Organization
Contact information
Practice address
1100 E MONROE ST, GLOBE, AZ 85501-1363
(928) 425-5721
(928) 425-3745
Mailing address
1100 E MONROE ST, GLOBE, AZ 85501-1363
(928) 425-5721
(928) 425-3745
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
OTC3084
AZ
261QP2000X
Physical Therapy Clinic/Center
OTC3084
AZ
261QR0400X
Rehabilitation Clinic/Center
Primary
OTC3084
AZ
261QX0100X
Occupational Medicine Clinic/Center
OTC3084
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558471
—
AZ
Enumeration date
11/06/2012
Last updated
01/23/2013
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