Athletico Ltd
NPI #1306493507 in Saint John, Indiana
Provider Information
- NPI Number
- 1306493507
- Entity Type
- Organization
- Organization Name
- Athletico Ltd
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 22, 2019
- Last Updated
- Aug 28, 2019
Practice Location
- Address
- 10081 WICKER AVE #4
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373
- Phone
- (219) 627-6445
Authorized Official
- Name
- JUANA GRANADOS
- Title
- CREDENTIALING MANAGER
- Phone
- (630) 575-1980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
| Clinic/Center |
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