Individual
MOLLY LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 E NETTLETON AVE STE D, JONESBORO, AR 72401-5152
(870) 520-8761
Mailing address
4485 PINE HAVEN CV APT 214, COLLIERVILLE, TN 38017-3954
(573) 450-0155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1797
AR
225X00000X
Occupational Therapist
8545
TN
225X00000X
Occupational Therapist
Primary
OTR4198
AR
Other
Enumeration date
12/28/2021
Last updated
01/23/2026
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