Individual
LYNETTE LAUTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1447 W ELLIOT RD STE 101, GILBERT, AZ 85233-5166
(480) 699-4845
Mailing address
1447 W ELLIOT RD STE 101, GILBERT, AZ 85233-5166
(480) 699-4845
(480) 699-5085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-01377
AZ
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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