Individual
JACOB LOVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3898 VIA POINCIANA STE 17, LAKE WORTH, FL 33467-2951
(561) 376-2573
Mailing address
3898 VIA POINCIANA STE 17, LAKE WORTH, FL 33467-2951
(561) 376-2573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16460
FL
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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