Individual
MR. LUKE DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2071
(651) 254-0910
Mailing address
2550 1ST AVE E, NORTH SAINT PAUL, MN 55109-3201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6671
MN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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