Provider Demographics
NPI:1295855526
Name:LOVEN, PAMELA CAROL (OT)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:CAROL
Last Name:LOVEN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:PINEOLA
Mailing Address - State:NC
Mailing Address - Zip Code:28662-0155
Mailing Address - Country:US
Mailing Address - Phone:828-733-6461
Mailing Address - Fax:828-733-3924
Practice Address - Street 1:BOX 309
Practice Address - Street 2:129 ALLEN CIRCLE
Practice Address - City:CROSSNORE
Practice Address - State:NC
Practice Address - Zip Code:28616
Practice Address - Country:US
Practice Address - Phone:828-733-5241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4695225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics