Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC
Active OrganizationCHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC is a Environmental Modification (OT) organization located in MEDFORD, New Jersey. NPI 1174380471 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · MEDFORD, NJ
Registration Details
- NPI Number
- 1174380471
- Provider Type
- Organization
- NPI Issued
- Mar 4, 2024 (2.4567987786103 yrs)
- Last Updated
- Mar 4, 2024
Practice Information
- Address
-
180 ROUTE 70MEDFORD, NJ, 080558703Browse NJ providers · Browse ZIP 08055
- Phone
- 6094421212
- Fax
- 6097149194
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.