Organization
PROGRESSIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA KEISLER (CREDENTIALING SUPERVISOR)
(803) 758-2600
Entity
Organization
Contact information
Practice address
10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 788-9950
(803) 462-9858
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1925
SC
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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