Shane Champion

NPI #1497033187 in Grand Bay, Alabama

Provider Information

NPI Number
1497033187
Entity Type
Individual
Name
Shane Champion
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Jul 28, 2011
Last Updated
Jul 28, 2011

Practice Location

Address
5500 DARA LN
State
Alabama
ZIP Code
36541-3465
Phone
(251) 454-1897

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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