Individual
ELLERY JAIMES LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 W COCHRAN ST, SIMI VALLEY, CA 93065-6215
(805) 864-6641
Mailing address
245 SANTA FE AVE, PISMO BEACH, CA 93449-1948
(224) 789-9696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21955
CA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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