Athletico Ltd

NPI #1215449996 in Redford, Michigan

Provider Information

NPI Number: 1215449996
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Nov 2, 2017
Last Updated: Mar 9, 2020

Practice Location

Address: 14615 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-3300
Phone: (313) 334-4298

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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