Individual
TERRI LUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1715 SYCAMORE ST, NILES, MI 49120-2045
(574) 904-9958
Mailing address
1715 SYCAMORE ST, NILES, MI 49120-2045
(574) 904-9958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001242A
IN
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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