Individual
MRS. SARAH ROSE LOCKENVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., P.T.A
Contact information
Practice address
25 E WILLOW ST, MILLBURN, NJ 07041-1416
(973) 564-8878
Mailing address
11 MOREHOUSE PL, NEW PROVIDENCE, NJ 07974-2425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB0380900
NJ
Other
Enumeration date
01/14/2021
Last updated
03/21/2024
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