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Organization
ATI HOLDINGS, LLC
Active
Organization
ATI HOLDINGS, LLC
Active
Other names
ATI Physical Therapy North East
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
2314 PULASKI HWY STE A, NORTH EAST, MD 21901-3730
(410) 287-2940
(410) 287-2941
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
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
06/29/2015
Last updated
06/29/2015
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