MIA ANTIONETTTE LUTER

COLUMBIA, MS
NPI1922127885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4080)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- MIA ANTIONETTTE LUTER LPTA
1560 SUMRALL RD
COLUMBIA, MS 39429-2654
Phone number: 601-740-2031
Mailing Address
-- MIA ANTIONETTTE LUTER LPTA
33 CHARLIES LN
COLUMBIA, MS 39429-9291
Phone number: 601-731-4972