Individual
MRS. CASSANDRA ANN LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1430 E LINCOLN RD, IDABEL, OK 74745-7343
(580) 286-5160
(580) 286-5162
Mailing address
1430 E LINCOLN RD, IDABEL, OK 74745-7343
(580) 286-5160
(580) 286-5162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3066
OK
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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