| Athletico Physical Therapy | |
|
10020 Professional Center Drive Hamburg MI 48139-0799 | |
| (810) 893-7623 | |
| (810) 893-7624 |
| Full Name | Athletico Physical Therapy |
|---|---|
| Speciality | Clinic/center |
| Location | 10020 Professional Center Drive, Hamburg, 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 600 Oakmont Ln Ste 600c Westmont IL 60559-5548 Ph: (630) 575-6200 | Athletico Physical Therapy 10020 Professional Center Drive Hamburg MI 48139-0799 Ph: (810) 893-7623 |
| NPI Number | 1861942377 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861942377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
Iha Hamburg Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10020 Professional Center Drive, Suite 120, Hamburg, MI 48139 Phone: 810-231-0256 |