Individual
LAUREN JO GILPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1317 N 36TH ST, SAINT JOSEPH, MO 64506-2359
(816) 676-1630
Mailing address
5719 S 10TH ST, SAINT JOSEPH, MO 64504-1809
(816) 390-6002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2007035959
MO
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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