Individual
LARRY BRANDONN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
350 E OGDEN AVE STE 104, WESTMONT, IL 60559-1267
(708) 218-7393
Mailing address
350 E OGDEN AVE STE 104, WESTMONT, IL 60559-1267
(708) 218-7393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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