Individual
MRS. LOREN ELISE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3210 N CLARKSON ST, FREMONT, NE 68025-2301
(402) 721-9300
Mailing address
2711 WYOMING ST, OMAHA, NE 68112-2837
(402) 980-2323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
984
NE
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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