Organization
PROGRESSIVE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FOURA MS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(570) 807-6420
Entity
Organization
Contact information
Practice address
1006 RIDGEVIEW DR, ORWIGSBURG, PA 17961-2332
(570) 807-6420
Mailing address
1006 RIDGEVIEW DR, ORWIGSBURG, PA 17961-2332
(570) 807-6420
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
PA
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
PA
Other
Enumeration date
05/29/2013
Last updated
07/13/2016
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