| Ms Carla L Champion, PT | |
|
4660 Haverhill St, Detroit, MI 48224-3520 | |
| (740) 972-4834 | |
| Not Available |
| Full Name | Ms Carla L Champion |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4660 Haverhill St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629125844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019390 (Michigan) | Primary |
| Provider Name | Tmi East Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336709252 PECOS PAC ID: 3274864665 Enrollment ID: O20200420003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carla L Champion, PT 119 Blue Spruce Ct, Delaware, OH 43015-4005 Ph: (740) 369-4834 | Ms Carla L Champion, PT 4660 Haverhill St, Detroit, MI 48224-3520 Ph: (740) 972-4834 |
Hannah Mckee-boyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 Fax: 313-745-1174 | |
Janine Marie Heath, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 | |
Mr. Olugesin Akande, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20122 W Mcnichols Rd, Detroit, MI 48219 Phone: 313-538-0140 Fax: 313-538-0147 | |
Patricia M Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 E Jefferson Ave, Detroit, MI 48207 Phone: 615-778-4066 Fax: 615-778-9114 | |
Mrs. Maria Anna Syjud, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-3744 | |
Shamnath A Rahim, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Junction St, Detroit, MI 48209 Phone: 313-297-3233 | |
Laurie Ann Norris, PT,DPT,MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100 |