| NPI | 1659478394 |
|---|---|
| Doing Business As | CHAMPION SPORTS MEDICINE - GREYSTONE |
| 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 | 2006-09-17 |
| Last Update Date | 2018-11-12 |