Individual
MS. LISA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1705 WINDY PINES DR, UNIT 1, NAPLES, FL 34112-2785
(239) 877-3998
Mailing address
1705 WINDY PINES DR, UNIT 1, NAPLES, FL 34112-2785
(239) 877-3998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19247
FL
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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