Organization
CHAMPION PHYSICAL THERAPY LLC HALLS
Active
Other names
CORA Physical Therapy - Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KRZYMINSKI (EXEC VP)
(419) 221-6717
Entity
Organization
Contact information
Practice address
4307 N ROAN ST STE 7, JOHNSON CITY, TN 37615-4973
(423) 491-5222
(423) 491-5223
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
—
—
Other
Enumeration date
04/20/2018
Last updated
10/12/2023
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