Individual
DANIELLE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
48 TUNNEL RD STE 202, POTTSVILLE, PA 17901-3885
(570) 622-0182
(570) 622-0182
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
(856) 678-3484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104267370-0001
—
PA
01
—
394532
MEDICARE
PA
Enumeration date
07/21/2009
Last updated
03/05/2025
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