Individual
CONNOR LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
18324 MAFFEY DR, CASTRO VALLEY, CA 94546-2267
(510) 209-9130
Mailing address
18324 MAFFEY DR, CASTRO VALLEY, CA 94546-2267
(510) 209-9130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302030
CA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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