| NPI | 1467836601 |
|---|---|
| Doing Business As | PROGRESSIVE PHYSICAL THERAPY BLANDING STREET |
| Entity Type | Organization |
| Authorized Contact | BARRY E FITCH President 803-731-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |