Individual
MR. JEFFREY LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3245 LEMON ST, RIVERSIDE, CA 92501-2926
(951) 454-0226
Mailing address
3245 LEMON ST, RIVERSIDE, CA 92501-2926
(951) 454-0226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
888
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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