Individual
KENNETH LOVE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
65 E UNIVERSITY DR, TEMPE, AZ 85281-1091
(480) 317-4444
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014509
AZ
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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