Progressive Physical Therapy, LLC

NPI #1972134831 in Vienna, Virginia

Provider Information

NPI Number: 1972134831
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: 111 CHURCH ST NW STE 201
City: Vienna
State: Virginia
ZIP Code: 22180-4536
Phone: (703) 272-8340

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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