Individual
CAROL LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
923 W 3RD ST, PEMBROKE, NC 28372-9684
(910) 522-2072
(910) 522-2074
Mailing address
PO BOX 8500, PINEHURST, NC 28374-8500
(910) 715-1010
(910) 715-1026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1105
NC
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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