| NPI | 1053660597 |
|---|---|
| Doing Business As | CHAMPION SPORTS MEDICINE & REHABILITATION CNTR - SAMFORD UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E TARVIN Vice President And Secretary 717-972-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2018-11-20 |