Individual
MR. TIMOTHY JOSEPH LUTKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
711 HALL ST, WIGGINS, MS 39577-2105
(601) 928-5511
Mailing address
711 HALL ST, WIGGINS, MS 39577-2105
(601) 928-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2963
MS
2251X0800X
Orthopedic Physical Therapist
Primary
PT2963
MS
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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