Provider Demographics
NPI:1861821043
Name:LOVE, CAMMA (OTR/L)
Entity Type:Individual
Prefix:
First Name:CAMMA
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 EXEMPLA CIR STE 240
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2906
Mailing Address - Country:US
Mailing Address - Phone:303-689-6580
Mailing Address - Fax:303-689-6588
Practice Address - Street 1:300 EXEMPLA CIR STE 240
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2906
Practice Address - Country:US
Practice Address - Phone:303-689-6580
Practice Address - Fax:303-689-6588
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000918225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation