Organization
CHAMPION PHYSICAL THERAPY LLC HALLS
Active
Other names
CORA Physical Therapy - Morristown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
1125 EAST MORRIS BLVD., MORRISTOWN, TN 37813
(423) 714-0001
(423) 702-4940
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6720
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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