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Contact Information

MARISA LOVE, ATC OTRL
1931 BLACK ROCK TPKE
FAIRFIELD, CT06825-3506
 Phone: 203-384-8681
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MARISA LOVE · (Female)

NPI # 1003944091
Status Active
Credentials ATC OTRL
Entity Individual
Enumeration date 03/01/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 002257
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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