Organization
CHAMPION PHYSICAL THERAPY AND PERFORMANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL REINOLD PT (PRESIDENT)
(617) 992-2984
Entity
Organization
Contact information
Practice address
108 CLEMATIS AVE STE A, WALTHAM, MA 02453-7040
(617) 992-2984
Mailing address
108 CLEMATIS AVE STE A, WALTHAM, MA 02453-7040
(617) 992-2984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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