Adam Lake

NPI #1578242301 in Bloomfield, New York

Provider Information

NPI Number: 1578242301
Entity Type: Individual
Name: Adam Lake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 9070 STATE ROUTE 5 AND 20
City: Bloomfield
State: New York
ZIP Code: 14469-9407
Phone: (585) 331-3160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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