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CHAMPION PHYSICAL THERAPY, PLLC

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Company Details

Name: CHAMPION PHYSICAL THERAPY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Dec 2014 (10 years ago)
Entity Number: 4684359
ZIP code: 11731
County: Nassau
Place of Formation: New York
Address: 224 CEDRUS AVENUE, EAST NORTHPORT, NY, United States, 11731

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 224 CEDRUS AVENUE, EAST NORTHPORT, NY, United States, 11731

National Provider Identifier

NPI Number:
1760873970

Authorized Person:

Name:
JEFFREY CORBEN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
141223000740 2014-12-23 ARTICLES OF ORGANIZATION 2014-12-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State