NPI | 1801352646 |
---|---|
Doing Business As | PIVOT PHYSICAL THERAPY OF MARYLAND |
Entity Type | Organization |
Authorized Contact | TASHEDA BROUGHTON Manager, Credentialing 252-248-3313 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2019-02-18 |
Last Update Date | 2024-11-01 |