Individual
LOREEN C CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7300 E INDIANA ST, SUITE 102, EVANSVILLE, IN 47715-2794
(812) 759-7457
(812) 759-7487
Mailing address
7300 E INDIANA ST, SUITE 102, EVANSVILLE, IN 47715-2794
(812) 759-7457
(812) 759-7487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01769
KY
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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