Provider Demographics
NPI:1487233789
Name:LOVHOIDEN, PAIGE JOELLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:JOELLE
Last Name:LOVHOIDEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1512 LOCUST ST APT 203
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-4285
Mailing Address - Country:US
Mailing Address - Phone:269-235-2829
Mailing Address - Fax:
Practice Address - Street 1:4010 S IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46614-2200
Practice Address - Country:US
Practice Address - Phone:574-216-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31007371A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist