Individual
MRS. ANGELIA KAY LOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1300 NE 16TH AVE, PORTLAND, OR 97323
(503) 288-6671
Mailing address
1300 NE 16TH AVE, PORTLAND, OR 97232-1467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8351
CA
Other
Enumeration date
06/05/2008
Last updated
01/07/2014
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