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Organization

BAYSIDE PHYSICAL THERAPY, LLC

Active
Other names
PIVOT PHYSICAL THERAPY
Organization subpart
No

Provider details

NPI number
Authorized official
HARRIS THOMPSON (CEO)
(410) 885-6371
Entity
Organization

Contact information

Practice address
33195 LIGHTHOUSE RD, STE 7, SELBYVILLE, DE 19975-4071
(302) 436-0902
Mailing address
501 FAIRMOUNT AVE, SUITE 302, TOWSON, MD 21286-5457
(410) 927-8768

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/06/2016
Last updated
10/06/2016
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