Individual
MRS. MARTHA C. LOCKWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
101 N 2ND ST, RATON, NM 87740-3803
(505) 445-7090
Mailing address
PO BOX 930, RED RIVER, NM 87558-0930
(505) 754-3155
(505) 754-2894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR/L 975
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6366
—
NM
Enumeration date
04/26/2006
Last updated
07/09/2007
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