Organization · NPI-2

Ati Holding LLC

Physical Therapist · Glen Burnie, MD

NPI number1265907489
StatusActive
Last updated in NPPESOct 4, 2018

Details

NPI
1265907489
Entity type
Organization (NPI-2)
Legal business name
Ati Holding LLC
Organization subpart
No
Enumeration date
Oct 4, 2018
Last updated
Oct 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––

Other names

  • Ati Physical Therapy (Doing Business As)

Practice location

7081 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431

Phone 410-691-1090

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Authorized official

Lynn Mcgivern
Cco
6302962222

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