Organization
ELITE PERFORMANCE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED R LUTZ JR. (PHYSICAL THERAPIST)
(412) 788-4626
Entity
Organization
Contact information
Practice address
7051 STEUBENVILLE PIKE, SUITE 2, OAKDALE, PA 15071-3318
(412) 788-4626
(412) 788-4335
Mailing address
7051 STEUBENVILLE PIKE, SUITE 2, OAKDALE, PA 15071-1509
(412) 788-4626
(412) 788-4335
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-006821L
PA
Other
Enumeration date
11/14/2011
Last updated
04/04/2012
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