Individual
CHARLES OREN LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 SPRINGFIELD DR, CHICO, CA 95928-6340
(530) 342-4885
Mailing address
6107 FERN LN, PARADISE, CA 95969-3131
(530) 945-8958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA354241
CA
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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