Individual
MR. JERMAINE QUENTIN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
12004 CAMELOT PL, OKLAHOMA CITY, OK 73120-6722
(405) 812-2082
Mailing address
12004 CAMELOT PL, OKLAHOMA CITY, OK 73120-6722
(405) 812-2082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3142
OK
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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