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MR. CHADWICK DEWAYNE CHAMPION

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1861945230

Individual Registrant:
MR. CHADWICK DEWAYNE CHAMPION 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1502 MAIN ST  GREENSBORO, AL 36744-1552 US
Tel: 334-624-3950  Fax: --

Contact information for business:
PO BOX 6  LIVINGSTON, AL 35470-0006 US
Tel: --  Fax: --

Registration Information:
NPI: 1861945230
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AL5677

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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