Individual
KATHLEEN LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 CROFTON PL, PALMYRA, VA 22963-3300
(434) 589-4096
Mailing address
310 SLATE DR, GIBSONVILLE, NC 27249-2867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207039
VA
225100000X
Physical Therapist
37756
CA
225100000X
Physical Therapist
6432
OR
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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