Individual
CRYSTAL A CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3742 GREENWICH AVE, DULUTH, GA 30096-6334
(706) 631-1030
Mailing address
3742 GREENWICH AVE, DULUTH, GA 30096-6334
(706) 631-1030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008962
GA
Other
Enumeration date
02/06/2007
Last updated
08/30/2020
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