Organization
PROGRESSIVE PHYSICAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY E FITCH D. P. T. (PRESIDENT)
(803) 731-4055
Entity
Organization
Contact information
Practice address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Mailing address
PO BOX 63419, CHARLOTTE, NC 28263-3419
(803) 758-2600
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
225X00000X
Occupational Therapist
—
SC
225XH1200X
Hand Occupational Therapist
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0231
—
SC
Enumeration date
05/28/2006
Last updated
05/02/2014
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