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Individual

TIA LOCKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2025 LITTLE KITTEN AVE, MANHATTAN, KS 66503-7545
(785) 776-0065
(785) 776-6825
Mailing address
2025 LITTLE KITTEN AVE, MANHATTAN, KS 66503-7545
(785) 776-0065
(785) 776-6825

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00922
KS

Other

Enumeration date
05/22/2018
Last updated
05/22/2018
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