Organization
CHAMPION REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DEE TOLLEFSON PHYSICAL THERAPIST (OWNER)
(619) 497-1890
Entity
Organization
Contact information
Practice address
2918 5TH AVE, SUITE 101, SAN DIEGO, CA 92103-5910
(619) 497-1890
(619) 497-1857
Mailing address
2918 5TH AVE, SUITE 101, SAN DIEGO, CA 92103-5910
(619) 497-1890
(619) 497-1857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT10276
CA
225100000X
Physical Therapist
Primary
PT14065
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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