Athletico Ltd
Clinic/Center in Gahanna, OH. Organization (NPI-2).
NPI number1194434803
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1194434803
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Athletico Physical Therapy (Doing Business As)
Practice location
1370 Cherry Bottom RdGahanna, OH 43230-6771
Phone 614-498-2240 · Fax 614-414-3098
Mailing address
2122 York Rd Ste 300Oak Brook, IL 60523-1925
Phone 630-575-6250
Authorized official
Juana Granados
Credentialing Manager
6305751980
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