Individual
MR. RAYMOND J CHAMPAGNE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LAT, ATC
Contact information
Practice address
PENN STATE SPORTS MEDICINE, 109 LASCH BUILDING, UNIVERSITY PARK, PA 16802
(985) 860-2876
Mailing address
183 FAITH CIRCLE, BOALSBURG, PA 16827
(985) 860-2876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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