Organization
ACCELERATED REHABILITATION CENTERS OF PHOENIX LLC
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTAILING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
425 N STAPLEY DR STE 105, MESA, AZ 85203-7281
(480) 729-8317
(480) 542-6462
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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