Basic Information
| Provider Information | |||||||||
| NPI: | 1679780217 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CALAUTTI | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PTA PHYSICAL THERAPI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 71 PROSPECT AVE | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5188287601 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 161 JEFFERSON HEIGHTS RD | ||||||||
| Address2: | |||||||||
| City: | CATSKILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5189439380 | ||||||||
| FaxNumber: | 5189432306 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 0058111 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.