Provider Demographics
NPI:1467787606
Name:PROGRESSUS THERAPY, LLC
Entity Type:Organization
Organization Name:PROGRESSUS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-549-5821
Mailing Address - Street 1:250 PRESIDENT ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4663
Mailing Address - Country:US
Mailing Address - Phone:813-549-5821
Mailing Address - Fax:800-892-0648
Practice Address - Street 1:5731 W SLAUSON AVE STE 150
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4232
Practice Address - Country:US
Practice Address - Phone:813-549-5821
Practice Address - Fax:800-892-0648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty