Organization
CHAMPION THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND LEACH (OWNER)
(918) 358-8040
Entity
Organization
Contact information
Practice address
603 N C AVE, CLEVELAND, OK 74020-2211
(918) 358-8040
(918) 358-8045
Mailing address
603 N C AVE, CLEVELAND, OK 74020-2211
(918) 358-8040
(918) 358-8045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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