Athletico Ltd
Clinic/Center in Parma, OH. Organization (NPI-2).
NPI number1790477362
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1790477362
- Entity type
- Organization (NPI-2)
- Legal business name
- Athletico Ltd
- Organization subpart
- No
- Enumeration date
- May 23, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
7480 Broadview RdParma, OH 44134-5718
Phone 440-481-1290 · Fax 440-340-7184
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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