MEDICARE: LOVIN' THERAPY INC

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
1	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1548930290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVIN' THERAPY INC

Provider Business Mailing Address
First Line	:	1615 S CONGRESS AVE STE 103
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6326
Country	:	US
Telephone Number	:	561-891-7534
Fax Number	:	561-491-9481

Provider Business Practice Location Address
First Line	:	5313 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3353
Country	:	US
Telephone Number	:	561-891-7534
Fax Number	:	561-491-9481

Authorized Official
Title or Position	:	CEO
Name	:	DR. MOISE ANGLADE
Credential	:	MD
Telephone Number	:	561-891-7534

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	09/15/2021

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Directions to “LOVIN' THERAPY INC ” Practice Location

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