NPI | 1538805775 |
---|---|
Former Legal Business Name | ATHLETICO PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JUANA GRANADOS Credentialing Manager 630-575-1980 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-05-10 |