Organization · NPI-2

Athletico Ltd

Clinic/Center · Farmington Hills, MI

NPI number1104209212
StatusActive
Last updated in NPPESMar 9, 2020

Details

NPI
1104209212
Entity type
Organization (NPI-2)
Legal business name
Athletico Ltd
Organization subpart
No
Enumeration date
Jul 7, 2015
Certification date
Mar 9, 2020
Last updated
Mar 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––

Other names

  • Athletico Physical Therapy (Doing Business As)
  • Accelerated Rehabilitation Centers, Ltd (Doing Business As)

Practice location

23800 Orchard Lake Rd
Ste #101
Farmington Hills, MI 48336-2560

Phone 248-474-5516

Mailing address

600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548

Phone 630-575-6200

Authorized official

Juana Granados
Credentialing Manager
6305751980

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