Individual
MRS. RUBY JANE LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5127
NC
225400000X
Rehabilitation Practitioner
A5127
NC
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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