Individual
MRS. JULIE D LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12410 CANTRELL RD, SUITE 200, LITTLE ROCK, AR 72223
(501) 224-1418
(501) 224-1917
Mailing address
12410 CANTRELL RD, SUITE 200, LITTLE ROCK, AR 72223
(501) 224-1418
(501) 224-1917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1753
AR
2251P0200X
Pediatric Physical Therapist
Primary
1753
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137695721
—
AR
01
—
5U498
BCBS
AR
Enumeration date
01/05/2007
Last updated
06/08/2011
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