| NPI | 1619734712 |
|---|---|
| Former Name | TERESA LEUTZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2173074) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX ATP47398) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX ATP47398) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2026-06-12 |