Individual
PATRICIA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(888) 605-9060
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
(888) 605-9060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06139
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTA.06139
—
OH
Enumeration date
01/28/2022
Last updated
01/28/2022
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