Athletico Ltd

NPI #1093471435 in Rockwall, Texas

Provider Information

NPI Number: 1093471435
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Nov 10, 2021
Last Updated: Nov 10, 2021

Practice Location

Address: 3005 N. GOLIAD STREET
City: Rockwall
State: Texas
ZIP Code: 75087
Phone: (469) 745-1935

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING MANAGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center	261Q00000X	Primary

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