Doctor Name: | MRS. JAMIE BRENDA CHAMPION |
NPI Number: | 1760612915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT16104 |
Business Practice Address: | 3625 E. Thousand Oaks Blvd Suite 102 Westlake Village, CA - 91362 |
Business Phone Number: | 8054943131 |
Business Fax Number: | 8054943002 |
Mailing Address: | 3625 E. Thousand Oaks Blvd, Suite 102 WESTLAKE VILLAGE |
State: | CA |
Postal Code: | 91362 |
Phone Number: | 8054943131 |
Fax Number: | 8054943002 |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 07/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT16104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |