| NPI | 1780240952 |
|---|---|
| Doing Business As | CHAMPION SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TARVIN Vice President 717-972-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |