Individual
BENJAMIN LUKE ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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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