Individual
MS. JENNIFER E LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
108 GLOVER DR, MOUNT ORAB, OH 45154-8390
(937) 444-2933
(937) 444-2924
Mailing address
108 GLOVER DR., MT. ORAB, OH 45154
(937) 444-2933
(937) 444-2924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT08968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561960
ANTHEM
—
05
—
2699512
—
OH
Enumeration date
03/07/2006
Last updated
09/19/2011
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