Individual
BRYAN JAMES LUITHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
430 ENCLAVE CIR APT 303, COSTA MESA, CA 92626-8297
(949) 981-2687
Mailing address
430 ENCLAVE CIR APT 303, COSTA MESA, CA 92626-8297
(949) 981-2687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41056
CA
Other
Enumeration date
10/22/2014
Last updated
12/04/2024
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