Organization
PROGRESSIVE PHYSICAL THERAPY INC
Active
Organization
PROGRESSIVE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL I WEINPER PT (PRESIDENT)
(818) 996-1725
Entity
Organization
Contact information
Practice address
19510 VENTURA BLVD, SUITE 106, TARZANA, CA 91356-2969
(818) 996-1725
(818) 996-0210
Mailing address
19510 VENTURA BLVD, SUITE 106, TARZANA, CA 91356-2969
(818) 996-1725
(818) 996-0210
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U782188
CIGNA
CA
01
—
ZZZ149112
BLUE SHIELD
CA
Enumeration date
11/11/2005
Last updated
12/12/2008
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