Individual
MR. JAMES SCARTH LOCKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
110 41ST ST, OAKLAND, CA 94611-5250
(510) 597-6700
Mailing address
494 41ST ST APT D, OAKLAND, CA 94609-2534
(510) 717-5789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12642
CA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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