Individual
ELIJAH LUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8900
Mailing address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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