Athletico Ltd

NPI #1962885079 in Dundee, Michigan

Provider Information

NPI Number: 1962885079
Entity Type: Organization
Organization Name: Athletico Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Jul 7, 2015
Last Updated: Mar 9, 2020

Practice Location

Address: 119 WATERSTRADT COMMERCE DR
City: Dundee
State: Michigan
ZIP Code: 48131-9695
Phone: (734) 823-7900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X
Clinic/Center	261Q00000X	Primary

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