Individual
BONNIE E LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7103 S COUNTY ROAD 475 E, CLOVERDALE, IN 46120-8989
(317) 286-0531
Mailing address
7103 S COUNTY ROAD 475 E, CLOVERDALE, IN 46120-8989
(317) 286-0531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901080
IN
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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