Individual
CINDY LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1155 CAMPGROUND RD, URBANA, OH 43078-9214
(937) 869-2463
Mailing address
1155 CAMPGROUND RD, URBANA, OH 43078-9214
(937) 869-2463
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06309
PTA LICENSE
OH
Enumeration date
05/20/2015
Last updated
05/20/2015
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