Individual
CAROL JANE LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1151 COLLEGE AVE, COLUMBUS, OH 43209-2827
(614) 235-4429
Mailing address
911 BERTHA AVE, PORTSMOUTH, OH 45662-2839
(740) 355-1849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5770
PTA LICENSE
OH
Enumeration date
02/27/2009
Last updated
02/27/2009
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