Provider Demographics
NPI:1386984235
Name:LOVE, ARIELLE ROSE (DPT)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:ROSE
Last Name:LOVE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4253 ALIIKOA PL # A
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5379
Mailing Address - Country:US
Mailing Address - Phone:301-233-2751
Mailing Address - Fax:
Practice Address - Street 1:4253 ALIIKOA PL # A
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5379
Practice Address - Country:US
Practice Address - Phone:301-233-2751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0335532251P0200X
HI5249225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics