Organization
PROGRESSIVE THEARPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY DENISE SIMONDS BCBA (OWNER)
(813) 525-5468
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD, SUITE 210, BRANDON, FL 33511-5104
(813) 525-5468
(813) 438-8903
Mailing address
220 W BRANDON BLVD, SUITE 210, BRANDON, FL 33511-5104
(813) 525-5468
(813) 438-8903
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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