| NPI | 1134621006 |
|---|---|
| Former Name | KRISTEN LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 42728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5142) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |