Individual
RICKY KENNETH LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 476-7000
Mailing address
PO BOX 6890, EVANSVILLE, IN 47719-0890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007411A
IN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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