Individual
ERIN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PENNSYLVANIA AVE, NUTTER FORT, WV 26301-4515
(304) 641-1606
Mailing address
107 PENNSYLVANIA AVE, NUTTER FORT, WV 26301-4515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
10537
NC
224Z00000X
Occupational Therapy Assistant
214074
TX
224Z00000X
Occupational Therapy Assistant
Primary
C2000
WV
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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