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Organization
ACCELERATED REHABILITATION CENTERS LTD
Active
Organization
ACCELERATED REHABILITATION CENTERS LTD
Active
Other names
ATHLETICO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
526 E JEFFERSON ST # 110, ROCKFORD, IL 61107-4076
(815) 997-5500
(815) 255-8102
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-5080
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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