Organization
PROGRESSIVE THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P PICKAVANCE (CFO OWNER)
(404) 232-0300
Entity
Organization
Contact information
Practice address
750 E MAIN ST, CANTON, GA 30114-2808
(404) 232-0300
Mailing address
1700 CANTON HILLS CIR, MARIETTA, GA 30062-4612
(404) 232-0300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
12/14/2010
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