Organization
THE PROGRESSIVE ORTHOPAEDIC COMPANY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BRADLEY HARRIS (PRESIDENT)
(304) 777-4789
Entity
Organization
Contact information
Practice address
1000 HAMPTON CTR, SUITE D, MORGANTOWN, WV 26505-3315
(304) 777-4789
(304) 777-4790
Mailing address
1000 HAMPTON CTR, SUITE D, MORGANTOWN, WV 26505-3315
(304) 777-4789
(304) 777-4790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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