Organization
CHAMPION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P ROWE PTA (CEO)
(985) 768-0980
Entity
Organization
Contact information
Practice address
901 LAKELAND PL STE 9, FLOWOOD, MS 39232-6633
(769) 251-1148
(769) 216-2156
Mailing address
901 LAKELAND PL STE 9, FLOWOOD, MS 39232-6633
(769) 251-1148
(769) 216-2156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
08/31/2020
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