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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 BROUGHTON (CREDENTIALING MANAGER)
(252) 248-3313
Entity
Organization
Contact information
Practice address
545 MAIN ST STE 117, LAUREL, MD 20707-4351
(301) 497-8980
(301) 490-2134
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
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/15/2022
Last updated
02/25/2025
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