Champion Professional Services
NPI #1487998183 in Miller Place, New York
Provider Information
- NPI Number
- 1487998183
- Entity Type
- Organization
- Organization Name
- Champion Professional Services
- Primary Specialty
- Physical Therapist - Geriatrics
- Enumeration Date
- Nov 19, 2012
- Last Updated
- Nov 19, 2012
Practice Location
- Address
- 93 TALLMADGE TRL
- City
- Miller Place
- State
- New York
- ZIP Code
- 11764-2327
- Phone
- (631) 828-4373
Authorized Official
- Name
- MR. MICHAEL JAMES LYONS, M.S,,P.T.
- Title
- PRESIDENT
- Phone
- (631) 828-4373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Geriatrics — Geriatrics |
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