Individual
MRS. WYNONA A LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
221 E COMANCHE AVE, MCALESTER, OK 74501-5845
(918) 423-1181
(918) 423-1191
Mailing address
221 E COMANCHE AVE, MCALESTER, OK 74501-5845
(918) 423-1181
(918) 423-1191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2229
OK
225200000X
Physical Therapy Assistant
2660
AR
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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