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Organization

CHAMPION SPORTS PERFORMANCE AND LIFE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUDOLPH FRANCIS CHRISTOPHER III PT, MPT (OWNER)
(609) 442-1212
Entity
Organization

Contact information

Practice address
180 ROUTE 70, MEDFORD, NJ 08055-8703
(609) 442-1212
(609) 714-9194
Mailing address
10 RAMS GATE CT, MEDFORD, NJ 08055-9704
(609) 442-1212
(609) 714-9194

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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