Organization
MARYLAND SPORTSCARE & REHAB LLC
Active
Other names
Pivot Physical Therapy of Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
TASHEDA BROUGHTON PESC (MANGER, CREDENTIALING)
(252) 248-3313
Entity
Organization
Contact information
Practice address
744 S PHILADELPHIA BLVD STE C, ABERDEEN, MD 21001-3602
(410) 339-1951
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
10/23/2024
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