Individual
JESSICA LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 VISTA CIR, NORTH OLMSTED, OH 44070-5704
(440) 864-3247
Mailing address
8701 DARROW RD, TWINSBURG, OH 44087-2105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011240
OCCUPATIONAL THERAPIST
OH
01
—
442700
NBCOT
OH
Enumeration date
11/29/2022
Last updated
11/29/2022
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