| NPI | 1942219472 |
|---|---|
| Doing Business As | CHAMPION SPORTS MEDICINE & REHAB CNTR - UNIVERSITY OF AL |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. GOLDBERG Chief Compliance Officer 610-644-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-05-12 |