Organization
PROGRESSIVE REHAB NETWORK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG NASH (ADMINISTRATOR)
(586) 582-8668
Entity
Organization
Contact information
Practice address
25625 SCHOENHERR RD, WARREN, MI 48089-1499
(586) 582-8668
(586) 582-8677
Mailing address
28362 JAMES DR, WARREN, MI 48092-5611
(586) 354-2530
(586) 354-2531
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30641
BCBSM PROVIDER NUMBER
MI
Enumeration date
01/09/2006
Last updated
01/21/2013
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