# TONJA GILMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821465014
- **Gender:** F
- **Credential:** MS, OTR/L, SIPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | NULL | — |
| 225XH1300X | Human Factors Occupational Therapist | — | NULL | — |
| 225XL0004X | Low Vision Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 08/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1029-9904-ET | CONTRACTOR'S EXCISE TAX LICENSE | SD |