Provider Demographics
NPI:1215312491
Name:LOVETT, MARK STEVE (DPT)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVE
Last Name:LOVETT
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:3727 BUCHANAN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-5410
Mailing Address - Country:US
Mailing Address - Phone:415-413-4711
Mailing Address - Fax:415-593-7974
Practice Address - Street 1:3727 BUCHANAN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-5410
Practice Address - Country:US
Practice Address - Phone:415-413-4711
Practice Address - Fax:415-593-7974
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA41993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist