Provider Demographics
NPI:1568537033
Name:DAVID, PATRICIA LOVELAND (PT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LOVELAND
Last Name:DAVID
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 S ARIZONA AVE
Mailing Address - Street 2:STE 12
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6509
Mailing Address - Country:US
Mailing Address - Phone:480-726-3305
Mailing Address - Fax:480-726-3508
Practice Address - Street 1:1445 S ARIZONA AVE STE 12
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6509
Practice Address - Country:US
Practice Address - Phone:480-726-3305
Practice Address - Fax:480-726-3508
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28866225100000X
AZ6628225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ122177Medicare PIN