Individual
MRS. KAITLIN BRIANNE LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(505) 266-3655
(505) 268-2771
Mailing address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(505) 266-3655
(505) 268-2771
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4203
NM
Other
Enumeration date
10/04/2012
Last updated
05/07/2014
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