Organization
CHAMPION PHYSICAL THERAPY LLC HALLS
Active
Other names
CORA Physical Therapy - Alcoa
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
(419) 221-6717
Entity
Organization
Contact information
Practice address
121 N CALDERWOOD ST, ALCOA, TN 37701-2109
(865) 336-9188
(865) 336-9189
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
TN
Other
Enumeration date
04/19/2018
Last updated
10/17/2023
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