Organization
MARYLAND SPORTSCARE & REHAB, LLC
Active
Other names
PIVOT PHYSICAL THERAPY OF MARYLAND
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIS THOMPSON (CEO)
(410) 885-6371
Entity
Organization
Contact information
Practice address
13247 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2648
(240) 252-7553
(240) 252-7554
Mailing address
501 FAIRMOUNT AVE, STE 302, TOWSON, MD 21286-5457
(410) 927-8768
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
10/21/2016
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