Organization
MATRIX REHABILITATION-GEORGIA, INC.
Active
Other names
Progressive Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. FITZPATRICK (CHEIF FINANCIAL OFFICER)
(610) 644-7824
Entity
Organization
Contact information
Practice address
355 PHILIP BLVD, SUITE B, LAWRENCEVILLE, GA 30045-8733
(770) 513-3233
(770) 513-2905
Mailing address
665 PHILADELPHIA ST, INDIANA, PA 15701-3941
(724) 465-3496
(724) 465-3726
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
02/04/2008
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