Individual
CHRISTOPHER PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
364 EAST AVE, OSWEGO, NY 13126-6148
(315) 326-0056
(315) 326-0102
Mailing address
364 EAST AVE, OSWEGO, NY 13126-6148
(315) 326-0056
(315) 326-0102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045260
NEW YORK STATE LICENSE
NY
Enumeration date
11/18/2019
Last updated
11/18/2019
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