Individual
ELIZABETH ANN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
414 CHABLIS WAY, WILMINGTON, NC 28411-8758
(443) 994-6711
Mailing address
414 CHABLIS WAY, WILMINGTON, NC 28411-8758
(443) 994-6711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
05286
MD
225X00000X
Occupational Therapist
Primary
11912
NC
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/15/2007
Last updated
08/12/2021
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