Organization
NORTHEAST RESTORATIVE PHYSICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSS L'HOMMEDIEU DPT (OWNER)
(631) 477-6035
Entity
Organization
Contact information
Practice address
633 E MAIN ST, SUITE 5, RIVERHEAD, NY 11901-7013
(631) 477-6035
(631) 614-4291
Mailing address
985 CARRINGTON RD, CUTCHOGUE, NY 11935-1624
(631) 765-8069
(631) 614-4291
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
011600
NY
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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