Champion Sports Performance and Life Wellness LLC
NPI #1174380471 in Medford, New Jersey
Provider Information
- NPI Number
- 1174380471
- Entity Type
- Organization
- Organization Name
- Champion Sports Performance and Life Wellness LLC
- Primary Specialty
- Physical Therapist - Sports
- Enumeration Date
- Mar 4, 2024
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 180 ROUTE 70
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055-8703
- Phone
- (609) 442-1212
Authorized Official
- Name
- MR. RUDOLPH FRANCIS CHRISTOPHER III, PT, MPT
- Title
- OWNER
- Phone
- (609) 442-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Sports — Sports |
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