| NPI | 1881995587 |
|---|---|
| Former Name | BONNIE JO LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 12896081-2401) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 37267) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2022-12-16 |