| NPI | 1750994695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL A CHAMPION Owner/Physical Therapist 706-631-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |