Individual
CAMERON LOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1279 W FRONTAGE RD UNIT H, RIO RICO, AZ 85648-6258
(520) 375-2127
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP049432T
MD
225100000X
Physical Therapist
PT44235
FL
225100000X
Physical Therapist
Primary
PTL27673
MA
Other
Enumeration date
06/21/2022
Last updated
02/17/2026
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