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Organization

PROGRESSIVE STEP CORP

Active
Other names
Longview Therapy Center
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA JO MAASSEN (SENIOR DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization

Contact information

Practice address
110 RUTH LYNN DR, LONGVIEW, TX 75605-5634
(903) 757-7731
(903) 757-3756
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021675601
TX
Enumeration date
09/30/2005
Last updated
02/08/2011
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