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Organization
FARMINGTON PHYSICAL THERAPY, INC
Active
Organization
FARMINGTON PHYSICAL THERAPY, INC
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
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
(630) 928-5080
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MI
225X00000X
Occupational Therapist
—
MI
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/29/2006
Last updated
04/16/2020
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