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Organization
PROFESSIONAL SPORTSCARE, LLC
Active
Organization
PROFESSIONAL SPORTSCARE, LLC
Active
Other names
PIVOT PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIS THOMPSON (CEO)
(410) 885-6371
Entity
Organization
Contact information
Practice address
2634 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1651
(410) 721-7201
Mailing address
501 FAIRMOUNT AVE, SUITE 302, TOWSON, MD 21286-5457
(410) 927-8768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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