Athletic Therapy Center, P.c.

NPI #1992874416 in Belleville, Illinois

Provider Information

NPI Number: 1992874416
Entity Type: Organization
Organization Name: Athletic Therapy Center, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Nov 7, 2006
Last Updated: Jun 18, 2008

Practice Location

Address: 2346 MASCOUTAH AVE
City: Belleville
State: Illinois
ZIP Code: 62220-3499
Phone: (618) 277-6282

Authorized Official

Name: JILL KETTLER
Title: OFFICE MANAGER
Phone: (618) 277-6282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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