Progressive Physical Therapy Inc

NPI 1013088962 - Clinic/Center - 261QP2000X

NPI Details
NPI 1013088962
Enumeration Date 11/13/2006
Last Updated 01/19/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES LAWRENCE CHARLES
Position PHYSICAL THERAPIST, PRESIDENT
Phone (386) 898-0443
Fax (386) 898-0459
Practice Location
290 CLYDE MORRIS BLVD
SUITE B-2
ORMOND BEACH FL, 32174-8130, US
Phone (386) 898-0443
Fax (386) 898-0459
Business Location
290 CLYDE MORRIS BLVD
SUITE B-2
ORMOND BEACH FL, 32174-8130, US
Phone (386) 898-0443
Fax (386) 898-0459
Toxanomy
Taxonomy Code 261QP2000X
License State Florida
License Number HCC5366
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According to our database, Progressive Physical Therapy Inc NPI is 1013088962, taxonomy code is 261QP2000X and license number is HCC5366, license state is located at Florida. Progressive Physical Therapy Inc physically located at 290 Clyde Morris Blvd, Ormond Beach FL, 32174-8130. NPI Number 1033115704 has the healthcare provider type.

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1013088962 NPI number is provided on an as is basis without warranty of any kind. 1013088962 is maintained by the National Plan & Provider Enumeration System. The contents of Progressive Physical Therapy Inc are for informational purposes only.