Individual
ROBERT WALTER LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5022 OLD GODSEY LN STE 3, HIXSON, TN 37343-6604
(423) 870-3573
(423) 870-3574
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3802
TN
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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