Adam Lake
Adam Lake is a Physical Therapy Assistant in Bloomfield, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
9070 State Route 5 And 20Bloomfield, NY 14469-9407
Phone: (585) 331-3160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1578242301 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2023 |
| Last updated in NPPES | July 18, 2023 |
| Certification date | July 18, 2023 |
| Mailing address | 9070 State Route 5 And 20, Bloomfield, NY 14469-9407 |