Doctor Name: | RUSS A. L'HOMMEDIEU |
NPI Number: | 1699870204 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, M.A. |
License Number: | 011600 |
Business Practice Address: | 633 E Main St Suite 3 Riverhead, NY - 119017013 |
Business Phone Number: | 6314776035 |
Business Fax Number: | |
Mailing Address: | 985 Carrington Rd, CUTCHOGUE |
State: | NY |
Postal Code: | 119351624 |
Phone Number: | 6317658069 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 011600 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |