Individual
JAMIE LUTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1761 BROADWAY ST, VALLEJO, CA 94589-2226
(707) 651-1000
Mailing address
1761 BROADWAY ST, VALLEJO, CA 94589-2226
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
12483
CA
Other
Enumeration date
12/27/2016
Last updated
04/19/2017
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