Organization Name: | PROGRESSIVE REHAB, LLC |
NPI Number: | 1154536860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER GUARNACCIA (PARTNER) |
Mailing Address: | 2305 N. Broad Street Lower Level Philadelphia |
State: | PA US |
Postal Code: | 19132 |
Phone Number: | 2152236548 |
Fax Number: | 2152455615 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT004092L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |