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Organization

ATHLETICO 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
1801 W MAUMEE ST, SUITE 125, ADRIAN, MI 49221-1291
(517) 264-6141
(517) 263-5786
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(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

Other

Enumeration date
07/21/2014
Last updated
02/11/2020
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