Organization
ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC
Active
Other names
Robert Wilutis Hand Therapy, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S. WILUTIS OTR, CHT (OWNER)
(631) 331-3608
Entity
Organization
Contact information
Practice address
635 BELLE TERRE RD, SUITE 105, PORT JEFFERSON, NY 11777-1935
(631) 331-3608
(631) 331-3608
Mailing address
635 BELLE TERRE RD, SUITE 105, PORT JEFFERSON, NY 11777-1935
(631) 331-3608
(631) 331-3608
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
008737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4823760001
DME NSC
NY
Enumeration date
06/11/2010
Last updated
06/11/2010
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