Athletico Ltd

NPI #1174970404 in Novi, Michigan

Provider Information

NPI Number: 1174970404
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: May 17, 2016
Last Updated: Feb 11, 2020

Practice Location

Address: 43443 GRAND RIVER AVE
Address 2: SUITE 200
City: Novi
State: Michigan
ZIP Code: 48375-1106
Phone: (248) 305-9200

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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