# CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801267703
- **Authorized official:** MRS. STEPHANIE O'SILAS MS CCC-SLP (CLINICAL DIRECTOR)
- **Authorized official phone:** (972) 755-9765

## Contact information

- **Practice address:** 5068 W PLANO PKWY STE 300, PLANO, TX 75093-4409
- **Practice address phone:** (972) 755-9765
- **Practice address fax:** (214) 602-3260
- **Mailing address:** PO BOX 703975, DALLAS, TX 75370-3975
- **Mailing address phone:** (972) 755-9765
- **Mailing address fax:** (214) 602-3260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 110891 | TX | Yes |

## Other

- **Enumeration date:** 10/18/2015
- **Last updated:** 10/16/2017