Individual
MRS. GENIA RENAE LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFTS
Contact information
Practice address
407 W 3RD ST, PEMBROKE, NC 28372-7977
(910) 521-5600
(910) 521-1906
Mailing address
407 W 3RD ST, PO BOX 2639, PEMBROKE, NC 28372-7977
(910) 521-5600
(910) 521-1906
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CFTS 7713
NC
Other
Enumeration date
11/20/2012
Last updated
07/14/2014
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