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Individual

KAITLYN MCGUIRE-GILMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
801 FORT SALONGA RD, NORTHPORT, NY 11768-3150
(516) 382-8597
Mailing address
45 PLEASANTVIEW CT, COPIAGUE, NY 11726-3917
(516) 382-8597

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
02874501
NY
225700000X
Massage Therapist
Primary
02874501
NY

Other

Enumeration date
09/30/2022
Last updated
10/04/2022
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