Progressive Physical Therapy, LLC

NPI #1275164121 in Herndon, Virginia

Provider Information

NPI Number: 1275164121
Entity Type: Organization
Organization Name: Progressive Physical Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Primary Specialty: Physical Therapist
Enumeration Date: Jan 30, 2020
Last Updated: Jan 10, 2022

Practice Location

Address: 416 ELDEN ST
City: Herndon
State: Virginia
ZIP Code: 20170-4511
Phone: (703) 817-2914

Authorized Official

Name: LAUREN LAU
Title: DIRECTOR OF CREDENTIALING
Phone: (724) 989-4564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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