Individual
HEATHER NIKOLE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 N 5TH AVE, TAWAS CITY, MI 48763-9245
(989) 362-2211
Mailing address
5367 N US 23, OSCODA, MI 48750-9690
(906) 235-7500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006945
MI
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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