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Organization
PIVOT PHYSICAL THERAPY OF CENTRAL MARYLAND LLC
Active
Organization
PIVOT PHYSICAL THERAPY OF CENTRAL MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHEDA BROUGTON (CREDENTIALING MANAGER)
(252) 248-3313
Entity
Organization
Contact information
Practice address
10085 RED RUN BLVD STE 304, OWINGS MILLS, MD 21117-4832
(410) 363-4887
(410) 363-3599
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
04/14/2025
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