Provider Demographics
NPI:1548842248
Name:LOVE, RENEE ANN (PT)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:ANN
Last Name:LOVE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:401 N ASHLEY DR UNIT 3147
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-9126
Mailing Address - Country:US
Mailing Address - Phone:813-253-3092
Mailing Address - Fax:813-259-9516
Practice Address - Street 1:1220 S DALE MABRY HWY STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5019
Practice Address - Country:US
Practice Address - Phone:813-253-3092
Practice Address - Fax:813-259-9516
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT121622251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics