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NPI Code Detail

MEDICARE: MRS. ASHLEY MARIE LOVELAND OTR/L

MEDICARE:  MRS. ASHLEY MARIE LOVELAND  OTR/L
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
1225X00000XOccupational TherapistOT 14761FL

General Provider Information

NPI Number : 1013256551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY MARIE LOVELAND OTR/L
Provider Business Mailing Address
First Line : 11215 BENTLEY TRACE LN E
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-3739
Country : US
Telephone Number : 321-427-7663
Fax Number :
Provider Business Practice Location Address
First Line : 1215 KINGSLEY AVE
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-4631
Country : US
Telephone Number : 904-269-8922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2013
Last Update Date : 02/04/2013

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Directions to “ MRS. ASHLEY MARIE LOVELAND OTR/L” Practice Location

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