Organization Name: | ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC |
NPI Number: | 1003090374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT S WILUTIS (OWNER) |
Mailing Address: | 74 Commerce Dr Suite 3 Riverhead |
State: | NY US |
Postal Code: | 119013105 |
Phone Number: | 6313313608 |
Fax Number: | 6313312392 |
NPI Enumeration Date: | 12/21/2007 |
NPI Last Update Date: | 06/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 008737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |