LUCAS RYAN PETKEWITZ

EGLIN AFB, FL
NPI1003228057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  PT014800)
Enumeration Date2014-05-27
Last Update Date2018-04-17
Business Address
LUCAS RYAN PETKEWITZ DPT
307 BOATNER RD STE 114
EGLIN AFB, FL 32542-1302
Phone number: 850-883-8600
Mailing Address
LUCAS RYAN PETKEWITZ DPT
307 BOATNER RD STE 114
EGLIN AFB, FL 32542-1302
Phone number: 850-883-8600