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Individual

CHERYL L GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1721 BEATTIE RD, ALBANY, GA 31721-2911
(844) 502-7996
Mailing address
1721 BEATTIE RD, ALBANY, GA 31721-2911
(844) 502-7996

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003816
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT003816
LICENSE
GA
Enumeration date
01/21/2009
Last updated
05/19/2022
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