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Maryland Sportscare & Rehab LLC

Physical Therapist in Salisbury, MD. Organization (NPI-2).

NPI number1194485136
StatusActive
Last updated in NPPESNov 1, 2024

Details

NPI
1194485136
Entity type
Organization (NPI-2)
Legal business name
Maryland Sportscare & Rehab LLC
Organization subpart
No
Enumeration date
Dec 17, 2021
Certification date
Nov 1, 2024
Last updated
Nov 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Other names

  • Pivot Physical Therapy Of Maryland (Doing Business As)

Practice location

949 Mount Hermon Rd
Salisbury, MD 21804-5105

Phone 410-543-9000

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Phone 252-248-3313 · Fax 410-648-4878

Authorized official

Tasheda Broughton
Manager, Credentialing
2522483313

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