Organization
DYNAMIC THERAPY SERVICES LLC
Active
Other names
Pivot Physical Therapy of Mid Atlantic
Organization subpart
No
Provider details
NPI number
Authorized official
TASHEDA BROUGHTON PESC (MANAGER, CREDENTIALING)
(252) 248-3313
Entity
Organization
Contact information
Practice address
20930 DUPONT BLVD UNIT 102, GEORGETOWN, DE 19947-1723
(302) 856-7462
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
05/08/2018
Last updated
12/09/2024
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