Individual
BRADLEY ROBERT ROCKLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
163 DELAWARE AVE, SUITE 101, DELMAR, NY 12054-1313
(518) 928-8103
Mailing address
163 DELAWARE AVE, SUITE 101, DELMAR, NY 12054-1313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016247-1
NY
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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