Organization
CHAMPION THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA CARTER CHAMPION MS, CCC,SLP (OWNER)
(336) 446-4206
Entity
Organization
Contact information
Practice address
501 BROWNBARK LN, GIBSONVILLE, NC 27249-2761
(336) 213-3352
(336) 446-4206
Mailing address
501 BROWNBARK LN, GIBSONVILLE, NC 27249-2761
(336) 213-3352
(336) 446-4206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211827
—
NC
05
—
7412405
—
NC
Enumeration date
01/03/2007
Last updated
08/22/2020
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