Organization
PROGRESSIVE REHABILITATION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BEVILACQUA PTA (MBR)
(215) 534-2381
Entity
Organization
Contact information
Practice address
2494 CHESWICK LN, MOUNT PLEASANT, SC 29466-8638
(215) 534-2381
Mailing address
2494 CHESWICK LN, MOUNT PLEASANT, SC 29466-8638
(215) 534-2381
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
3143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3758
—
SC
Enumeration date
03/18/2018
Last updated
01/13/2020
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