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Organization
ATI HOLDING LLC
Active
Organization
ATI HOLDING LLC
Active
Other names
ATI PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT KIRK (DIRECTOR OF CREDENTIALING)
(708) 710-9931
Entity
Organization
Contact information
Practice address
212 ROSEWICK RD, LA PLATA, MD 20646-4216
(240) 776-6900
(240) 261-5321
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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