Individual
LUKE ALEXANDER BRADFORD SIEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
2085 ROSWELL RD APT 1326, MARIETTA, GA 30062-7524
(770) 345-3057
Mailing address
2085 ROSWELL RD APT 1326, MARIETTA, GA 30062-7524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013974
GA
Other
Enumeration date
07/31/2019
Last updated
01/18/2024
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