TREVOR WAYNE LOVE

SPRINGFIELD, MO
NPI1992287478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2018026147)
Enumeration Date2018-08-31
Last Update Date2018-08-31
Business Address
TREVOR WAYNE LOVE PTA
2211 E CLAIBORNE ST
SPRINGFIELD, MO 65804-3823
Phone number: 417-569-9808
Mailing Address
TREVOR WAYNE LOVE PTA
2211 E CLAIBORNE ST
SPRINGFIELD, MO 65804-3823
Phone number: 417-569-9808