Organization
PROGRESSIVE REHAB SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKITA RENEE BONDS MA, CCC (SPEECH- LANGUAGETHERAPIST/OWNER)
(314) 805-9708
Entity
Organization
Contact information
Practice address
1310 HARTING DR, FLORISSANT, MO 63031-1970
(314) 805-9708
(314) 831-6375
Mailing address
1310 HARTING DR, FLORISSANT, MO 63031-1970
(314) 805-9708
(314) 831-6375
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2005026624
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467335907
—
MO
Enumeration date
02/22/2010
Last updated
02/22/2010
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