Individual
THERESA EILEEN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 TANGLEWOOD RD, ROSE HILL, KS 67133-9223
(316) 990-8427
Mailing address
1606 TANGLEWOOD RD, ROSE HILL, KS 67133-9223
(316) 990-8427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00059
KS
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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