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Jennifer Jh Luttrell

Developmental Therapist in Riverview, FL. Individual provider (NPI-1).

NPI number1629508809
StatusActive
Last updated in NPPESJun 19, 2017

Details

NPI
1629508809
Entity type
Individual (NPI-1)
Name
Jennifer Jh Luttrell
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2017
Last updated
Jun 19, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

7243 Us Highway 301 S Ste A
Riverview, FL 33578-8399

Phone 813-663-9828

Mailing address

11244 Creek Haven Dr
Riverview, FL 33569-6201

Phone 574-303-7285

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Developmental Therapist providers in Riverview, FL

All 17 Developmental Therapist providers in Riverview · All 2,538 providers in Riverview

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