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NPI Code Detail

MEDICARE: BRIDGETTE N LOVE P.T.

MEDICARE: BRIDGETTE N LOVE P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist05009323AIN

General Provider Information

NPI Number : 1770783474
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGETTE N LOVE P.T.
Provider Business Mailing Address
First Line : 320 RAINES ST
Second Line :
City : PLAINFIELD
State : IN
Zip : 46168-1656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1003 MILL POND LN STE C
Second Line :
City : GREENCASTLE
State : IN
Zip : 46135-2609
Country : US
Telephone Number : 765-653-8494
Fax Number : 765-653-7838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 07/20/2007

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Directions to “ BRIDGETTE N LOVE P.T.” Practice Location

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