Organization
PROGRESSIVE THERAPISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GAISHA L WILLIAMS M.S. (DEVELOPMENTAL THERAPISTS)
(219) 887-0475
Entity
Organization
Contact information
Practice address
4032 TYLER ST, GARY, IN 46408-2552
(219) 887-0475
(219) 980-0467
Mailing address
4032 TYLER ST, GARY, IN 46408-2552
(219) 887-0475
(219) 980-0467
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
949583
IN
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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