Individual
ROBERT ALIN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
5838 DORSEY EVERGREEN RD, FULTON, MS 38843-9030
(662) 862-3946
Mailing address
5838 DORSEY EVERGREEN RD, FULTON, MS 38843-9030
(662) 862-3946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2852
MS
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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