Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE CHAMPION
Active Sole ProprietorSHANE CHAMPION is a Occupational Therapist healthcare provider located in GRAND BAY, Alabama. NPI 1497033187 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GRAND BAY, AL
Registration Details
- NPI Number
- 1497033187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2011 (15.016566394551 yrs)
- Last Updated
- Jul 28, 2011
- License
-
PTA3404 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5500 DARA LNGRAND BAY, AL, 365413465Browse AL providers · Browse ZIP 36541
- Phone
- 2514541897
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.