Individual
HANNAH GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1297 W 104TH ST, CLEVELAND, OH 44102-1590
(419) 509-1368
Mailing address
1297 W 104TH ST APT 1, CLEVELAND, OH 44102-1590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011003
OH
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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