Organization
ATI HOLDINGS, LLC
Active
Other names
ATI Physical Therapy Waldorf
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
3018 FESTIVAL WAY # 323, WALDORF, MD 20601-2958
(240) 754-5520
(301) 705-6797
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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