Organization
ATI HOLDING LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CCO)
(630) 296-2222
Entity
Organization
Contact information
Practice address
2314 PULASKI HWY STE A, NORTH EAST, MD 21901-3730
(410) 287-2940
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
09/27/2018
Last updated
09/27/2018
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