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Organization
PROFESSIONAL SPORTSCARE & REHAB, LLC
Active
Organization
PROFESSIONAL SPORTSCARE & REHAB, LLC
Active
Other names
PIVOT PHYSICAL THERAPY OF METRO DC
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING DIRECTOR)
(630) 575-1980
Entity
Organization
Contact information
Practice address
8420 BAYSIDE RD, STE 108, CHESAPEAKE BEACH, MD 20732-3319
(443) 964-5656
(443) 964-5657
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(252) 248-3313
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/18/2016
Last updated
10/01/2025
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