| NPI | 1144714064 |
|---|---|
| Doing Business As | CHAMPION SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TARVIN Vice President 717-972-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-11-20 |