Organization
MAHOPAC PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD W. LUTZ JR. P.T. (OWNER)
(845) 628-5578
Entity
Organization
Contact information
Practice address
880 S LAKE BLVD, MAHOPAC, NY 10541-4765
(845) 628-5578
(845) 628-1654
Mailing address
PO BOX 940, MAHOPAC, NY 10541-0940
(845) 628-5578
(845) 628-1654
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
11/03/2008
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