Individual
JESSICA LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(920) 857-8390
Mailing address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(920) 857-8390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012718
CO
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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