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Organization
GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC
Active
Organization
GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC
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
440 W MARTINTOWN RD STE 101, NORTH AUGUSTA, SC 29841
(803) 441-0025
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/21/2006
Last updated
01/04/2023
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