Organization
ATI HOLDING LLC
Active
Other names
PRO Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ACHUFF (CREDENTIALING SPECAILIST)
(302) 793-0432
Entity
Organization
Contact information
Practice address
7081 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-0001
(410) 691-1090
Mailing address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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