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Organization

MARYLAND SPORTSCARE & REHAB, LLC

Active
Other names
PIVOT PHYSICAL THERAPY OF MARYLAND
Organization subpart
No

Provider details

NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING DIRECTOR)
(630) 575-1980
Entity
Organization

Contact information

Practice address
72 FREDERICK ST, TANEYTOWN, MD 21787-2135
(410) 756-5700
(410) 756-5701
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(252) 248-3375
(410) 648-4878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
01/15/2016
Last updated
10/10/2025
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