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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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