Individual
EVIE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N POPLAR ST, ABERDEEN, NC 28315-2812
(910) 944-1169
Mailing address
361 RENNERT RD, LUMBERTON, NC 28360-8257
(910) 374-0660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8117
NC
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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