| NPI | 1245746684 |
|---|---|
| Doing Business As | PROFESSIONAL SPORTS CARE REHAB OF WEST VIRGINIA, LLC |
| 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 | 2017-12-21 |
| Last Update Date | 2024-09-24 |