OrganizationActive
Champion Sports Performance and Life Wellness LLC
NPI 1174380471 · Sports Physical Therapist · Medford, NJ
Provider details
- NPI number
- 1174380471
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Rudolph Christopher, Owner(609) 442-1212
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
180 Route 70
Medford, NJ 08055-8703
Phone: (609) 442-1212
Fax: (609) 714-9194
Approximate (ZIP-level) locationGet directions
Mailing address
10 Rams Gate Ct
Medford, NJ 08055-9704
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.