Individual
CARLYN NATALIE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6550 YORK AVE S, SUITE 520, EDINA, MN 55435-2347
(952) 924-0199
(952) 924-0314
Mailing address
10900 73RD AVE N, SUITE 110, MAPLE GROVE, MN 55369-5458
(763) 315-1296
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101216
MN
Other
Enumeration date
06/06/2007
Last updated
12/12/2013
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