| Doctor Name: | CRYSTAL A CHAMPION |
| NPI Number: | 1124167739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | PT008962 |
| Business Practice Address: | 6325 Hospital Pkwy Johns Creek, GA - 300975775 |
| Business Phone Number: | 6784747180 |
| Business Fax Number: | 6784747186 |
| Mailing Address: | 3742 Greenwich Ave, DULUTH |
| State: | GA |
| Postal Code: | 300966334 |
| Phone Number: | 7066311030 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT008962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |