Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 008483 | CA |
NPI | 1033204367 |
---|---|
Provider Name | Mr. Steven Paul Lockard |
First Address | Torrance, CA 90501-0422 |
Second Address | Torrance, CA 90501-0422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |