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Organization

PROGRESSIVE REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOANN M TERRY PT (PRESIDENT)
(859) 426-5888
Entity
Organization

Contact information

Practice address
2845 CHANCELLOR DRIVE, CRESTVIEW HILLS, KY 41017-3452
(859) 426-5888
(859) 426-0059
Mailing address
PO BOX 633138, CINCINNATI, OH 45263-3138
(859) 426-5888
(859) 426-4206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8790061900
KY
Enumeration date
07/16/2006
Last updated
04/09/2008
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