Individual
JESSICA LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 BUSTLETON AVE, SUITE 1A, PHILADELPHIA, PA 19116-1188
(215) 613-6523
Mailing address
14500 BUSTLETON AVE, SUITE 1A, PHILADELPHIA, PA 19116-1188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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