| Organization Name: | PROGRESSIVE REHAB, LLC |
| NPI Number: | 1316215304 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINGER VALENCIA (ADMINISTRATOR) |
| Mailing Address: | 2373 E Baseline Rd Suite 102 Gilbert |
| State: | AZ US |
| Postal Code: | 852342477 |
| Phone Number: | 4806364266 |
| Fax Number: | 4804971863 |
| NPI Enumeration Date: | 12/06/2011 |
| NPI Last Update Date: | 12/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |