Organization
PROGRESSIVE PHYSICAL THERAPY, LLC
Active
Other names
Phoenix Rehabilitation and Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LAU (DIRECTOR OF CREDENTIALING AND PAYOR)
(724) 989-4564
Entity
Organization
Contact information
Practice address
11100 BARNSLEY WAY, UNIT E, UNIT E, MARRIOTTSVILLE, MD 21104
(410) 988-4968
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-9500
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
01/10/2022
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