Organization
ATHLETICO LTD
Active
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
43443 GRAND RIVER AVE, SUITE 200, NOVI, MI 48375-1106
(248) 305-9200
(248) 305-9330
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1932
(630) 928-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
02/11/2020
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