Lucas Ryan Petkewitz, DPT

NPI #1003228057 in Eglin Afb, Florida

Provider Information

NPI Number: 1003228057
Entity Type: Individual
Name: Lucas Ryan Petkewitz, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 27, 2014
Last Updated: Apr 17, 2018

Practice Location

Address: 307 BOATNER RD STE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542-1302
Phone: (850) 883-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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