Individual
MARY ANN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
Mailing address
3224 MARVIN AVE, ERIE, PA 16504-1140
(814) 392-3368
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001273A
PA
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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