Mia Antionettte Luter, LPTA
NPI #1922127885 in Columbia, Mississippi
Provider Information
- NPI Number
- 1922127885
- Entity Type
- Individual
- Name
- Mia Antionettte Luter, LPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1560 SUMRALL RD
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429-2654
- Phone
- (601) 740-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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| Cody O'neal Broom | |
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