Organization
GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC
Active
Other names
Athletico Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA GRANADOS (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
1321 INTERSTATE PKWY, AUGUSTA, GA 30909-5626
(706) 945-0810
(706) 945-0821
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
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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