Organization Name: | PIVOTAL CONNECTIONS LLC |
NPI Number: | 1386033918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA B BUCHHEISTER (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 22378 Three Notch Rd Unit B Lexington Park |
State: | MD US |
Postal Code: | 206532003 |
Phone Number: | 7572329877 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2015 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 24712 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |