Individual
KATHLEEN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
205 BUD NALLEY DR, EASLEY, SC 29642-3578
(315) 264-5054
Mailing address
328 LEGENDS CLUB DR, MT PLEASANT, SC 29466-9046
(315) 264-5054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4082
SC
Other
Enumeration date
12/30/2013
Last updated
01/31/2019
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