| Athletico Physical Therapy | |
|
43715 Ford Rd Canton MI 48187-3185 | |
| (734) 656-2546 | |
| (734) 636-9463 |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 43715 Ford Rd, Canton, Michigan |
| Authorized Official Name and Position | Juana Granados (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6305751980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athletico Physical Therapy 2122 York Rd Ste 300 Oak Brook IL 60523-1925 Ph: (630) 575-6250 | Athletico Physical Therapy 43715 Ford Rd Canton MI 48187-3185 Ph: (734) 656-2546 |
| NPI Number | 1558956201 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558956201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 225100000X | Physical Therapist | () | Secondary |
| 225X00000X | Occupational Therapist | () | Secondary |
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