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NPI Code Detail

MEDICARE: PROGRESSIVE PATHWAYS GROUP, INC.

MEDICARE: PROGRESSIVE PATHWAYS GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner2000266571NV

General Provider Information

NPI Number : 1316249170
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSIVE PATHWAYS GROUP, INC.
Provider Business Mailing Address
First Line : 1941 NAPOLEON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-7187
Country : US
Telephone Number : 702-438-8452
Fax Number : 702-438-2981
Provider Business Practice Location Address
First Line : 1941 NAPOLEON DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-7187
Country : US
Telephone Number : 702-438-8452
Fax Number : 702-438-2981
Authorized Official
Title or Position : PRESIDENT
Name : MRS. VICTORIA GREEN-JOBE
Credential : M.A.
Telephone Number : 702-438-8452
Provider Enumeration Date : 11/30/2010
Last Update Date : 11/30/2010

Similar Medicare Providers

1902108624 — MRS. VICTORIA GREEN-JOBE M.A.
Practice Location Address:
1941 NAPOLEON DR
LAS VEGAS, NV
89156-7187
Practice Phone: 702-438-8452
Practice Fax: 702-438-2981
1063714780 — MEGHAN JEFFREYS B.S.
Practice Location Address:
1941 NAPOLEON DR
LAS VEGAS, NV
89156-7187
Practice Phone: 702-438-8452
Practice Fax: 702-438-2981
1679875397 — ANDREA CLIPPER
Practice Location Address:
1941 NAPOLEON DR
LAS VEGAS, NV
89156-7187
Practice Phone: 702-438-8452
Practice Fax: 702-438-2981
1639471378 — MR. BRIAN JOBE A.S.
Practice Location Address:
1941 NAPOLEON DR
LAS VEGAS, NV
89156-7187
Practice Phone: 702-438-8452
Practice Fax: 702-438-2981
1770880668 — TONYA C GARDNER
Practice Location Address:
1941 NAPOLEON DR
LAS VEGAS, NV
89156-7187
Practice Phone: 702-438-8452
Practice Fax: 702-438-2981
1336446491 — ROSE GARNETT
Practice Location Address:
1941 NAPOLEON DR
LAS VEGAS, NV
89156-7187
Practice Phone: 702-438-8452
Practice Fax: 702-438-2981

Directions to “PROGRESSIVE PATHWAYS GROUP, INC. ” Practice Location

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