Provider Demographics
NPI:1376217265
Name:PICCUTA, WILLIAM J (CRT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:PICCUTA
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
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Mailing Address - Street 1:200 RENAISSANCE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-7612
Mailing Address - Country:US
Mailing Address - Phone:724-256-9606
Mailing Address - Fax:724-256-9609
Practice Address - Street 1:1701 3RD ST STE 4
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2432
Practice Address - Country:US
Practice Address - Phone:878-207-2192
Practice Address - Fax:878-207-2193
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAYM015310227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified