Individual
GABRIELLA LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1621 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2229
(843) 353-3460
(843) 353-3461
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12753
SC
225100000X
Physical Therapist
P22565
NC
Other
Enumeration date
09/06/2023
Last updated
03/05/2025
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