Individual
ABIGAIL ANNE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815-9214
(208) 664-0566
Mailing address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815-9214
(208) 664-0566
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2547
ID
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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