Organization
SPORTS PHYSICAL THERAPY & REHAB SPECIALIST SC
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
1201 MAIN ST, UNION GROVE, WI 53182-1303
(262) 878-9602
(262) 878-9609
Mailing address
600 OAKMONT LN, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IL
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
04/06/2018
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