Individual
ADDISON LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1794 ZUMBEHL RD, SAINT CHARLES, MO 63303-2759
(636) 947-1666
Mailing address
3845 HUMPHREY ST, SAINT LOUIS, MO 63116-4825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018019452
MO
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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