Provider Demographics
NPI:1831587666
Name:LOVEND, CAITLIN RENEE (ATC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:RENEE
Last Name:LOVEND
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9625 CORONET CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1468
Mailing Address - Country:US
Mailing Address - Phone:301-741-8192
Mailing Address - Fax:
Practice Address - Street 1:9625 CORONET CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1468
Practice Address - Country:US
Practice Address - Phone:301-741-8192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-01
Last Update Date:2015-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0058432255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer