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Organization
CHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC
Active
Organization
CHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDOLPH FRANCIS CHRISTOPHER III PT, MPT (OWNER)
(609) 442-1212
Entity
Organization
Contact information
Practice address
180 ROUTE 70, MEDFORD, NJ 08055-8703
(609) 442-1212
(609) 714-9194
Mailing address
10 RAMS GATE CT, MEDFORD, NJ 08055-9704
(609) 442-1212
(609) 714-9194
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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