Organization
CONCUSSION CHAMPIONS REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN BILLINGS (CREDENTIALING)
(412) 655-4362
Entity
Organization
Contact information
Practice address
633 W MAIN ST, MT PLEASANT, PA 15666-1846
(724) 542-5441
Mailing address
328 MULBERRY CIR, MOUNT PLEASANT, PA 15666-3406
(724) 542-5441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT019800
STATE LICENSE
PA
Enumeration date
05/20/2022
Last updated
05/20/2022
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