Individual
BENJAMIN LUKE ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1398 LAKE ST S STE 100, FOREST LAKE, MN 55025-2720
(651) 275-2700
(651) 309-0000
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11907
MN
225100000X
Physical Therapist
15398-24
WI
Other
Enumeration date
03/24/2021
Last updated
06/12/2023
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