| NPI | 1013555093 |
|---|---|
| Doing Business As | CHAMPION SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E TARVIN Vice President 717-972-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2020-03-05 |