Individual
CAROLYN M LOCKWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
681 FALMOUTH RD, UNIT 24D, MASHPEE, MA 02649-3327
(508) 477-5670
(508) 539-1790
Mailing address
15 HOLLY FARM DR, MASHPEE, MA 02649-3184
(508) 477-4845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4167
MA LICENSE
MA
Enumeration date
04/18/2006
Last updated
07/08/2007
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