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
22750 NEWCUT RD STE D1, CLARKSBURG, MD 20871-5334
(301) 540-0530
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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