Championship Physical Therapy PC

NPI #1144481375 in East Syracuse, New York

Provider Information

NPI Number: 1144481375
Entity Type: Organization
Organization Name: Championship Physical Therapy PC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 20, 2008
Last Updated: Nov 7, 2008

Practice Location

Address: 314 E 1ST ST
City: East Syracuse
State: New York
ZIP Code: 13057-2927
Phone: (315) 439-8840

Authorized Official

Name: BRADLEY R PIKE, PT
Title: SOLE PROPRIETOR
Phone: (315) 439-8840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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