Individual
JENNIFER ROSE LOCKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
215 GENESEE ST APT C6, AUBURN, NY 13021-3269
(716) 378-3130
Mailing address
215 GENESEE ST APT C6, AUBURN, NY 13021-3269
(716) 378-3130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007638-1
NY
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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