Individual
TODD ANDREW CHAMPLIN
Active
Individual
TODD ANDREW CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006761A
IN
2255A2300X
Athletic Trainer
36000646A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05006761A
PHYSICAL THERAPIST LICENS
IN
Enumeration date
07/09/2006
Last updated
05/11/2021
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