| NPI | 1194275057 | 
|---|---|
| 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 | 2016-10-04 | 
| Last Update Date | 2024-12-06 |