Individual
NORA GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
601 W DAYTON ST, MADISON, WI 53715-1206
(608) 224-9007
Mailing address
118 S BLAIR ST, MADISON, WI 53703-4492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1675
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1675
WISCONSIN DEPARTMENT OF SAFTETY AND PROFESSIONAL SERVICES
WI
Enumeration date
02/03/2015
Last updated
02/03/2015
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