Individual
ELIJAH CAGLE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4624 S HOLLADAY BLVD STE 2, SALT LAKE CITY, UT 84117-7169
(801) 277-1028
Mailing address
7337 BRYN ATHYN WAY APT 257, RALEIGH, NC 27615-6247
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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