| NPI | 1942231378 |
|---|---|
| Doing Business As | PROGRESSIVE SPORTS MEDICINE-LOGANVILLE |
| Entity Type | Organization |
| Authorized Contact | DENNIS J. FITZPATRICK Cheif Financial Officer 610-644-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-02-04 |