| Champion Sports Performance And Life Wellness Llc | |
|
180 Route 70, Medford, NJ 08055-8703 | |
| (609) 442-1212 | |
| (609) 714-9194 |
| Full Name | Champion Sports Performance And Life Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Sports |
| Location | 180 Route 70, Medford, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174380471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Sports Performance And Life Wellness Llc 10 Rams Gate Ct, Medford, NJ 08055-9704 Ph: (609) 442-1212 | Champion Sports Performance And Life Wellness Llc 180 Route 70, Medford, NJ 08055-8703 Ph: (609) 442-1212 |
Mrs. Catherine Michalsky Heino, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Huntington Circle Dr, Medford, NJ 08055 Phone: 609-462-2092 Fax: 609-953-6990 | |
Mark William Butler, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Route 70, Suite 2c, Medford, NJ 08055 Phone: 609-953-7227 | |
Hailey Ann Layton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Route 70 Ste 2c, Medford, NJ 08055 Phone: 609-953-7222 | |
Dr. Daniel Gorenberg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Route 70 Ste 19, Medford, NJ 08055 Phone: 609-714-3378 | |
Joseph M Bodnar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 Route 70, Medford, NJ 08055 Phone: 856-533-0920 | |
Mr. Joseph M Moore, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Route 70, Suite 10, Medford, NJ 08055 Phone: 609-714-7733 Fax: 609-714-7750 | |
Mrs. Donna M Sherman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Medford Leas, Medford, NJ 08055 Phone: 609-654-3069 |