Organization
CHAMPION REHABILITATION AND SUPPORT SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE O'SILAS MS CCC-SLP (CLINICAL DIRECTOR)
(972) 755-9765
Entity
Organization
Contact information
Practice address
5068 W PLANO PKWY STE 300, PLANO, TX 75093-4409
(972) 755-9765
(214) 602-3260
Mailing address
PO BOX 703975, DALLAS, TX 75370-3975
(972) 755-9765
(214) 602-3260
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
110891
TX
Other
Enumeration date
10/18/2015
Last updated
10/16/2017
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