| Organization Name: | PROGRESSIVE REHAB LLC |
| NPI Number: | 1407292295 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ILYAS H ZAIDI (P.T.) |
| Mailing Address: | 18566 Office Park Dr Montgomery Village |
| State: | MD US |
| Postal Code: | 208860587 |
| Phone Number: | 3015192522 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2013 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 20105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |