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1578195954
TIMOTHY ALAN LUTTIK
SAN DIEGO, CA
NPI
1578195954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 297885)
Enumeration Date
2020-02-04
Last Update Date
2020-09-09
Business Address
TIMOTHY ALAN LUTTIK
3760 CONVOY ST STE 100
SAN DIEGO, CA 92111-3743
Phone number: 858-573-9368
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Mailing Address
TIMOTHY ALAN LUTTIK
3760 CONVOY ST STE 101
SAN DIEGO, CA 92111-3743
Phone number: 858-264-1434
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