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1407566011
MICHAEL LOCKENVITZ
GRANITE CITY, IL
NPI
1407566011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.027116)
Enumeration Date
2022-12-05
Last Update Date
2022-12-05
Business Address
Dr. MICHAEL LOCKENVITZ DPT
1503 LINDELL BLVD
GRANITE CITY, IL 62040-3837
Phone number: 618-709-4125
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Mailing Address
Dr. MICHAEL LOCKENVITZ DPT
1503 LINDELL BLVD
GRANITE CITY, IL 62040-3837
Phone number: 618-709-4125
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