Individual
NATALIE RUTH LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
1756 HAMPTON OAKS DR, FAYETTEVILLE, NC 28314-1814
(910) 487-4301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0571
NC
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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