NPI | 1164979902 |
---|---|
Doing Business As | PIVOT PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TASHEDA BROUGHTON Manager, Credentialing 252-248-3313 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2016-09-09 |
Last Update Date | 2024-11-01 |