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Organization

MARYLAND SPORTSCARE & REHAB, LLC

Active
Other names
PIVOT PHYSICAL THERAPY
Organization subpart
No

Provider details

NPI number
Authorized official
TASHEDA BROUGHTON PESC (MANAGER, CREDENTIALING)
(252) 248-3313
Entity
Organization

Contact information

Practice address
2219 BEL PRE RD, SILVER SPRING, MD 20906-2204
(443) 566-4255
(443) 566-4234
Mailing address
501 FAIRMOUNT AVE, STE 302, TOWSON, MD 21286-5457
(410) 927-8768

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
01/24/2017
Last updated
10/23/2024
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