Organization
ACTIVCARE PHYSICAL THERAPY, LLC
Active
Other names
Pivot Physical therapy of the Carolinas
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PARENT (SR VICE PRESIDENT OF REVENUE CYCLE)
(410) 401-5120
Entity
Organization
Contact information
Practice address
11009 INGLESIDE PLACE, SUITE 102, RALEIGH, NC 27614
(919) 752-5943
(919) 752-5946
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
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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