| NPI | 1124422142 |
|---|---|
| Doing Business As | ATHLETICO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JUANA GRANADOS Credentailing Manager 630-575-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2019-05-14 |