Provider Demographics
NPI:1154442846
Name:LUTHRA, PARUL (PT)
Entity Type:Individual
Prefix:
First Name:PARUL
Middle Name:
Last Name:LUTHRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14436 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3217
Mailing Address - Country:US
Mailing Address - Phone:402-408-9555
Mailing Address - Fax:402-408-3055
Practice Address - Street 1:14436 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3217
Practice Address - Country:US
Practice Address - Phone:402-408-9555
Practice Address - Fax:402-408-3055
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2528225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist