Progressive Rehab Management Corporation

NPI #1053944009 in Medford, New York

Provider Information

NPI Number: 1053944009
Entity Type: Organization
Organization Name: Progressive Rehab Management Corporation
Primary Specialty: Physical Therapist
Enumeration Date: Feb 18, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 15 PITCHPINE PL
City: Medford
State: New York
ZIP Code: 11763-4208
Phone: (347) 922-4222

Authorized Official

Name: MR. JOEL OLAKUNLE OLADOSU, PT
Title: CEO
Phone: (347) 922-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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