Individual
MRS. MARY K LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6909 GOOD SAMARITAN DRIVE, SUITE A, CINCINNATI, OH 45247-5207
(513) 245-5434
(513) 245-5424
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 733-9333
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 02038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328340
ANTHEM
OH
05
—
2507086
—
OH
Enumeration date
07/12/2005
Last updated
12/09/2013
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