Organization
ATI HOLDINGS LLC
Active
Other names
PRO Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ACHUFF (CREDENTIALING SPECIALIST)
(302) 793-0432
Entity
Organization
Contact information
Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
Mailing address
6500 EASTERN AVE, SUITE E&F, BALTIMORE, MD 21224-2900
(410) 633-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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