Individual
MADISON ANNE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
101 E MARKET ST STE 3B, SMITHFIELD, NC 27577-3981
(919) 243-2201
Mailing address
101 E MARKET ST STE 3B, SMITHFIELD, NC 27577-3981
(919) 243-2201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16824
NC
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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