Individual
GUY LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 ADAMS CIR, BOULDER, CO 80303-1820
(303) 444-3967
Mailing address
4489 HAMILTON CT, BOULDER, CO 80305-5556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013808
CO
Other
Enumeration date
04/07/2016
Last updated
08/14/2016
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