Athletico Ltd

NPI #1831792415 in Middletown, Ohio

Provider Information

NPI Number: 1831792415
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 323 N BREIEL BLVD
City: Middletown
State: Ohio
ZIP Code: 45042-3868
Phone: (513) 420-1700

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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