Organization
PROGRESSIVE REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNE L. HARDEE PHYSICAL THERAPIST (DIRECTOR)
(334) 682-9027
Entity
Organization
Contact information
Practice address
325 WHISKEY RUN RD, CAMDEN, AL 36726-2303
(334) 682-5771
Mailing address
325 WHISKEY RUN RD, CAMDEN, AL 36726-2303
(334) 682-5771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH425
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-05098
BLUE CROSS BLUE SHIELD
AL
01
—
DG0706
MEDICARE RAILROAD
AL
01
—
L195
MEDICARE
AL
Enumeration date
05/23/2007
Last updated
04/25/2008
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