Individual
MICHAEL T LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Mailing address
1570 PASEO GRANDE, APT 2011, BULLHEAD CITY, AZ 86442-8523
(715) 292-8785
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5243
AZ
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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