Most Relevant Information
Provider Data
| NPI Number: | 1003400235 |
| Provider Name: | THERON LOCKE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2021 |
| Last Updated: | 02/28/2021 |
Provider Practice Location
212 DOTHAN RD
ABBEVILLE
AL
363102800
Practice Location Phone/Fax
| Phone: | 3345852241 |
| Fax: |
Provider Mailing Location
601 WHATLEY DR APT H7007
DOTHAN
AL
363032475
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |