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Organization

ATHLETICO LTD

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
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-9645
(520) 682-9646
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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