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Individual
LUCAS ALLEN HATTERVIG
Active
Individual
LUCAS ALLEN HATTERVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2070
SD
225100000X
Physical Therapist
2157
ND
225100000X
Physical Therapist
—
IA
Other
Enumeration date
07/31/2018
Last updated
03/17/2020
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