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Organization

PROGRESSIVE SPORTS REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES A SWINKIN (DPT/OWNER)
(201) 820-4608
Entity
Organization

Contact information

Practice address
194 STATE RT 17 N, D, ROCHELLE PARK, NJ 07662-4006
(201) 820-4608
(201) 820-4611
Mailing address
194 STATE RT 17 N, D, ROCHELLE PARK, NJ 07662-4006
(201) 820-4608
(201) 820-4611

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01153800
NJ

Other

Enumeration date
07/10/2009
Last updated
07/10/2009
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