Champion Physical Therapy Llc

NPI 1053509299 - Physical Therapist - 225100000X

NPI Details
NPI 1053509299
Enumeration Date 10/12/2007
Last Updated 10/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MATTHEW LEE MATTHEW
Position OWNER/PHYSICAL THERAPIST
Phone (770) 205-3939
Fax (770) 205-4994
Practice Location
540 LAKE CENTER PKWY
SUIET 107
CUMMING GA, 30040-7727, US
Phone (770) 205-3939
Fax (770) 205-4994
Business Location
540 LAKE CENTER PKWY
SUIET 107
CUMMING GA, 30040-7727, US
Phone (770) 205-3939
Fax (770) 205-4994
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Champion Physical Therapy Llc NPI is 1053509299, taxonomy code is 225100000X Champion Physical Therapy Llc physically located at 540 Lake Center Pkwy, Cumming GA, 30040-7727. NPI Number 1033115704 has the healthcare provider type.

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1053509299 NPI number is provided on an as is basis without warranty of any kind. 1053509299 is maintained by the National Plan & Provider Enumeration System. The contents of Champion Physical Therapy Llc are for informational purposes only.