Individual
VICTORIA LOVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GREAT HILL DR, BALLWIN, MO 63021-6318
(618) 225-0390
Mailing address
407 GREAT HILL DR, BALLWIN, MO 63021-6318
(618) 225-0390
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1308140
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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