Individual
PATTI LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1262 VISTA CIR, LYNDEN, WA 98264-9450
(360) 820-8637
Mailing address
1262 VISTA CIR, LYNDEN, WA 98264-9450
(360) 820-8637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160047459
WA
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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