Provider Demographics
NPI:1891812301
Name:LOVE, JOHN ALLAN (PT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ALLAN
Last Name:LOVE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 CANANDAIGUA FARMINGTON TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:14425
Mailing Address - Country:US
Mailing Address - Phone:585-398-3344
Mailing Address - Fax:
Practice Address - Street 1:2975 COUNTY ROAD 48
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-9553
Practice Address - Country:US
Practice Address - Phone:585-396-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0127482251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology