| Athletico Physical Therapy | |
|
1915 Carlyle Ave Ste D Belleville IL 62220 | |
| (618) 310-0305 | |
| Not Available |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 1915 Carlyle Ave, Belleville, Illinois |
| Authorized Official Name and Position | Geri Cook (VP OF BILLING OPERATIONS) |
| Authorized Official Contact | 6305751940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athletico Physical Therapy 625 Enterprise Dr Oak Brook IL 60523-8813 Ph: (630) 575-6200 | Athletico Physical Therapy 1915 Carlyle Ave Ste D Belleville IL 62220 Ph: (618) 310-0305 |
| NPI Number | 1437675535 |
|---|---|
| Provider Enumeration Date | 08/21/2017 |
| Last Update Date | 08/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437675535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 225100000X | Physical Therapist | () | Secondary |
| 225X00000X | Occupational Therapist | () | Secondary |
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