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Organization

GLEN BURNIE PHYSICAL THERAPY & SPORTSCARE, LLC

Active
Other names
PIVOT PHYSICAL THERAPY OF GREATER BALTIMORE
Organization subpart
No

Provider details

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

Contact information

Practice address
7711 QUARTERFIELD RD STE C2, GLEN BURNIE, MD 21061-4591
(410) 766-4047
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(252) 248-3313

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
04/12/2016
Last updated
02/10/2025
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