Individual
MRS. NIKKI M LUTZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
525 TYLER RD STE Q1, SAINT CHARLES, IL 60174-3360
(630) 444-0077
(630) 444-0078
Mailing address
215 GRAND RIDGE RD, SAINT CHARLES, IL 60175-1074
(630) 443-9223
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070012259
IL
Other
Enumeration date
01/15/2007
Last updated
01/07/2021
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