Organization
PROGRESSIVE THERAPEUTICS OT, SLP, PT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DESIMONE SLP (SPEECH PATHOLOGIST)
(646) 523-0565
Entity
Organization
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(646) 523-0565
(718) 608-9179
Mailing address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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