Organization
CHAMPION REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVATORE LUCIANO PT (OWNER)
(609) 677-7268
Entity
Organization
Contact information
Practice address
2500 ENGLISH CREEK AVE, LIFECENTER, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7268
(609) 677-7269
Mailing address
2500 ENGLISH CREEK AVE, LIFECENTER, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7268
(609) 677-7269
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00825800
NJ
261QP2000X
Physical Therapy Clinic/Center
40QA01290500
NJ
Other
Enumeration date
02/26/2014
Last updated
06/05/2014
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