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Individual

CHARLES WILLIAM LOCKE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.TA

Contact information

Practice address
40 NORTH MAIN ST., BELLINGHAM, MA 02019
(508) 966-2717
(508) 966-2095
Mailing address
26 ASYLUM ST, MILFORD, MA 01757
(508) 473-0400
(508) 473-3440

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2293
MA

Other

Enumeration date
02/10/2009
Last updated
02/10/2009
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