Organization
ATHLETICO, LTD
Active
Other names
Endurance Physical Therapy an Athletico Co
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
2714 W OXFORD LOOP STE 164, OXFORD, MS 38655-5714
(662) 232-8949
(662) 232-8950
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
01/11/2022
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