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Organization

ATHLETIC AND THERAPEUTIC INSTITUTE OF MILWAUKEE, LLC

Active
Other names
ATI Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization

Contact information

Practice address
2330 N FARWELL AVE, MILWAUKEE, WI 53211-4401
(414) 220-9084
(414) 220-9082
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

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

Other

Enumeration date
10/14/2011
Last updated
03/22/2012
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