| NPI | 1023584661 | 
|---|---|
| Doing Business As | ATHLETICO PHYSICAL THERAPY | 
| Entity Type | Organization | 
| Authorized Contact | JUANA GRANADOS Credentialing Manager 630-575-1980 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Enumeration Date | 2018-10-22 | 
| Last Update Date | 2018-10-22 |