Organization
PROGRESSIVE NEURO THERAPY PLLC
Active
Other names
PROGRESSIVE NEURO THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTA RAE SIMMONS OT (OCCUPATIONAL THERAPIST/OWNER)
(512) 200-2332
Entity
Organization
Contact information
Practice address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Mailing address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
106204
TX
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
106204
TX
Other
Enumeration date
08/20/2008
Last updated
02/19/2013
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