Individual
LANI K LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 TEXAS ST, FORT WORTH, TX 76102-3400
(817) 338-3405
Mailing address
1600 TEXAS ST, FORT WORTH, TX 76102-3400
(817) 338-3405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2062996
TX
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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