NPI | 1083131502 |
---|---|
Doing Business As | DYNAMIC PHYSICAL THERAPY |
Doing Business As | PIVOT THERAPY OF MID ATLANTIC, LLC |
Entity Type | Organization |
Authorized Contact | TASHEDA BROUGHTON Manager, Credentialing 252-248-3313 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Enumeration Date | 2017-08-25 |
Last Update Date | 2024-12-09 |