Organization
CHAMPION PHYSICAL THERAPY LLC
Active
Organization
CHAMPION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LEE FOLTZ MPT (OWNER/PHYSICAL THERAPIST)
(770) 205-3939
Entity
Organization
Contact information
Practice address
540 LAKE CENTER PKWY, SUIET 107, CUMMING, GA 30040-7727
(770) 205-3939
(770) 205-4994
Mailing address
540 LAKE CENTER PKWY, SUIET 107, CUMMING, GA 30040-7727
(770) 205-3939
(770) 205-4994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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