Individual
JARED ALDEN LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1900 N ALAFAYA TRL, ORLANDO, FL 32826-4726
(407) 514-3657
Mailing address
1900 N ALAFAYA TRL, ORLANDO, FL 32826-4726
(407) 514-3657
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PTA31223
FL
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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