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Organization

ATI HOLDING LLC

Active
Other names
ATI PHYSICAL THERAPY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATT KIRK (DIRECTOR OF CREDENTIALING)
(708) 710-9931
Entity
Organization

Contact information

Practice address
212 ROSEWICK RD, LA PLATA, MD 20646-4216
(240) 776-6900
(240) 261-5321
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
08/18/2020
Last updated
08/18/2020
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