Individual
REGINA FAY LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 BATTLEFIELD PKWY, FORT OGLETHROPE, GA 30742
(706) 866-7700
Mailing address
66 ARMSTRONG ROAD, LAFAYETTE, GA 30728
(423) 755-1029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA0000002729
TN
224Z00000X
Occupational Therapy Assistant
Primary
OTA002130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
GA
Enumeration date
05/15/2017
Last updated
05/15/2017
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