Athletico Ltd

NPI #1619570074 in Edwardsville, Illinois

Provider Information

NPI Number
1619570074
Entity Type
Organization
Organization Name
Athletico Ltd
Primary Specialty
Clinic/Center
Enumeration Date
Nov 18, 2020
Last Updated
Nov 18, 2020

Practice Location

Address
1047 CENTURY DR
ZIP Code
62025-3772
Phone
(618) 307-3434

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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