Individual
MRS. JENNIFER GRACE LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 NEEDMORE RD, CLARKSVILLE, TN 37040-6993
(931) 538-3755
Mailing address
1267 CARNATION CT, CLARKSVILLE, TN 37042-1546
(931) 980-0366
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2675
TN
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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