Individual
KELLY LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 MAIN ST, CONWAY, NH 03818-6166
(603) 447-2533
Mailing address
568 MAIN ST, FRYEBURG, ME 04037-1146
(207) 935-7770
(207) 935-7773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1444
ME
225100000X
Physical Therapist
Primary
1684
NH
Other
Enumeration date
11/03/2006
Last updated
12/02/2024
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