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General NPI Number Information
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NPI Number | 1376664102
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Entity Type | Organization
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Legal Business Name | LUTZ PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3733 N JOSEY LN SUITE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-2469
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Country | US
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Telephone | 972-395-7445
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Fax | 972-395-7882
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Provider Business Mailing Address
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Address Line | 3733 N JOSEY LN SUITE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-2469
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Country | US
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Telephone | 972-395-7445
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Fax | 972-395-7882
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM THOMAS LUTZ JR.
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Credential | P.T.
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Telephone | 972-395-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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