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NPI Code Detail

MEDICARE: CHAMPION PHYSICAL THERAPY & WELLNESS

MEDICARE: CHAMPION PHYSICAL THERAPY & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1528664935
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAMPION PHYSICAL THERAPY & WELLNESS
Provider Business Mailing Address
First Line : 4 MAY ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-1718
Country : US
Telephone Number : 862-452-9434
Fax Number :
Provider Business Practice Location Address
First Line : 321 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2120
Country : US
Telephone Number : 862-452-9434
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL/OWNER
Name : MR. JOSEPH GERARD ANELLO
Credential : DPT
Telephone Number : 862-452-9434
Provider Enumeration Date : 12/10/2020
Last Update Date : 12/10/2020

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Directions to “CHAMPION PHYSICAL THERAPY & WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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