Organization
THERAPY STATION ASSOCIATES, INC.
Active
Parent organization
PROGRESSUS THERAPY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSUS THERAPY, LLC
Authorized official
PATTY WIKE (VICE PRESIDENT COMMUNITY BASED SVCS)
(913) 484-7161
Entity
Organization
Contact information
Practice address
1766 CALIFORNIA ST, REDDING, CA 96001-1905
(530) 242-1511
Mailing address
250 SOUTH PRESIDENT STREET, SUITE 2300, BALTIMORE, MD 21202
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT7960
CA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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