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NPI Code Detail

MEDICARE: JOSEPH DARBY LOVE DPT

MEDICARE: JOSEPH DARBY LOVE DPT
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 Therapist

General Provider Information

NPI Number : 1679158489
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH DARBY LOVE DPT
Provider Business Mailing Address
First Line : 1711 N AVENUE 54
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1105
Country : US
Telephone Number : 626-862-1883
Fax Number :
Provider Business Practice Location Address
First Line : 301 N LAKE AVE STE 201
Second Line :
City : PASADENA
State : CA
Zip : 91101-5120
Country : US
Telephone Number : 626-568-9115
Fax Number : 626-568-9232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 03/12/2021

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Directions to “ JOSEPH DARBY LOVE DPT” Practice Location

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