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General NPI Number Information
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NPI Number | 1750555769
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Entity Type | Organization
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Legal Business Name | PROGESSIVE PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | S63W13644 JANESVILLE RD
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City | MUSKEGO
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State | WI
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Zip | 53150-2713
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Country | US
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Telephone | 414-427-5659
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 ROUTE 53 SUITE A
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City | LISLE
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State | IL
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Zip | 60532-3392
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Country | US
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Telephone | 630-434-0271
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Fax | 630-515-1536
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. AMY HELMINSKI
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Credential | PT, MS, OCS
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Telephone | 414-427-5659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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