Athletico Ltd

NPI #1194368340 in Rowlett, Texas

Provider Information

NPI Number
1194368340
Entity Type
Organization
Organization Name
Athletico Ltd
Primary Specialty
Clinic/Center
Enumeration Date
Oct 21, 2019
Last Updated
Oct 21, 2019

Practice Location

Address
4802 LAKEVIEW PKWY # 101
State
Texas
ZIP Code
75088-4003
Phone
(469) 863-4203

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist
Clinic/Center

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