Individual
COLBY LEA LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5036 SE 110TH ST UNIT 103, BELLEVIEW, FL 34420-3759
(352) 693-3378
Mailing address
66 BLUE CREEK WAY, ST AUGUSTINE, FL 32086-2923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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