Provider Demographics
NPI:1962033795
Name:CAMPION, CLIFFORD P (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:P
Last Name:CAMPION
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3067 NW 120TH WAY
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1529
Mailing Address - Country:US
Mailing Address - Phone:954-937-6280
Mailing Address - Fax:
Practice Address - Street 1:3067 NW 120TH WAY
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1529
Practice Address - Country:US
Practice Address - Phone:954-937-6280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist