Individual
LUKE RANDALL DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2400 FARMINGTON AVE, FARMINGTON, NM 87401-4509
(505) 326-0064
(505) 327-3995
Mailing address
4113 APPLEWOOD DR, FARMINGTON, NM 87402-3041
(928) 292-0095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6126
NM
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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