Provider Demographics
NPI:1568212116
Name:CATHERINE C. LOVE OCCUPATIONAL THERAPY SERVICE, LLC
Entity Type:Organization
Organization Name:CATHERINE C. LOVE OCCUPATIONAL THERAPY SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MSOT, OTR/L, CPAM
Authorized Official - Phone:678-471-2877
Mailing Address - Street 1:317 TONBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-5860
Mailing Address - Country:US
Mailing Address - Phone:678-471-2877
Mailing Address - Fax:
Practice Address - Street 1:317 TONBRIDGE CT
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-5860
Practice Address - Country:US
Practice Address - Phone:678-471-2877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty