Individual
LONNIE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1551 PROFESSIONAL LN STE 150, LONGMONT, CO 80501-6972
(720) 494-4750
(720) 494-4751
Mailing address
1551 PROFESSIONAL LN STE 150, LONGMONT, CO 80501-6972
(720) 494-4750
(720) 494-4751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011034
CO
225100000X
Physical Therapist
005825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011034
COLORADO PHYSICAL THERAPIST
CO
01
—
005825
PHYSICAL THERAPY LISENCE
GA
Enumeration date
07/25/2007
Last updated
03/05/2013
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