Individual
JOHN W GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8311 MACARTHUR RD, GLENSIDE, PA 19038-7523
(267) 625-0914
Mailing address
8311 MACARTHUR RD, GLENSIDE, PA 19038-7523
(267) 625-0914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000279
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
NA
PA
Enumeration date
09/17/2021
Last updated
09/17/2021
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