Organization
CHAMPIONSHIP PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY R PIKE PT (SOLE PROPRIETOR)
(315) 439-8840
Entity
Organization
Contact information
Practice address
314 E 1ST ST, EAST SYRACUSE, NY 13057-2927
(315) 439-8840
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014305
NY
Other
Enumeration date
06/20/2008
Last updated
11/07/2008
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