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Individual

HEIDI JO LOCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
785 ORCHARD DR STE 120, FOLSOM, CA 95630-5558
(916) 817-8654
(916) 817-8654
Mailing address
785 ORCHARD DR STE 120, FOLSOM, CA 95630-5558
(916) 817-8654
(916) 817-8654

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 2559
CA

Other

Enumeration date
10/23/2014
Last updated
10/23/2014
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