Provider Demographics
NPI:1407900954
Name:LOCKYER, JO ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JO
Middle Name:ANN
Last Name:LOCKYER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JO
Other - Middle Name:ANN
Other - Last Name:SALENTINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:280 W MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5642
Mailing Address - Country:US
Mailing Address - Phone:510-752-6180
Mailing Address - Fax:510-752-7578
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:510-752-6180
Practice Address - Fax:510-752-7578
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9613225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist