| NPI | 1144481375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R PIKE Sole Proprietor 315-439-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014305) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-11-07 |