Provider Demographics
NPI:1992860092
Name:LOVE, PATRICIA A (OTR)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:LOVE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PILLINGS POND RD
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1345
Mailing Address - Country:US
Mailing Address - Phone:781-334-3082
Mailing Address - Fax:
Practice Address - Street 1:320 PILLINGS POND RD
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-1345
Practice Address - Country:US
Practice Address - Phone:781-334-3082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2171225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist