Individual
ELIZABETH ANN LUTTRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11467
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11467
PHYSICAL THERAPY LICENSE
SC
Enumeration date
10/26/2022
Last updated
10/13/2023
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