Shane Champion
Shane Champion is a Physical Therapy Assistant in Grand Bay, Alabama. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2011
Practice location Address checks out
5500 Dara LnGrand Bay, AL 36541-3465
Phone: (251) 454-1897
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA3404 (MS) |
|---|
Record details
| NPI number | 1497033187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2011 |
| Last updated in NPPES | July 28, 2011 |
| Mailing address | 5500 Dara Ln, Grand Bay, AL 36541-3465 |