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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
5885 WEST BASELINE RD, STE 141, PHOENIX, AZ 85339
(602) 830-9081
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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