NPI | 1861401481 |
---|---|
Doing Business As | CHAMPION SPORTS MEDICINE & REHABILITATION-ST. VINCENTS |
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 | 2006-08-05 |
Last Update Date | 2018-11-20 |