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Individual
MR. THOMAS J CHAMPION
Active
Individual
MR. THOMAS J CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0017740
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17740
PT LICENSE
CO
Enumeration date
06/30/2021
Last updated
06/04/2026
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