Organization
ATHLETICO LTD
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA FERNANDEZ (DIRECTOR OF CLINICAL SERVICES)
(630) 575-1980
Entity
Organization
Contact information
Practice address
2904 CALUMET AVE, VALPARAISO, IN 46383-2639
(219) 462-1020
(219) 462-1043
Mailing address
2904 CALUMET AVE, VALPARAISO, IN 46383-2639
(219) 462-1020
(219) 462-1043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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