Individual
DR. JENNIE LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4520 LYNN FOREST DR, GAINESVILLE, VA 20155-1026
(703) 753-9376
Mailing address
4520 LYNN FOREST DR, GAINESVILLE, VA 20155-1026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005993
VA
225100000X
Physical Therapist
PT006676L
PA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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