Individual
SHELLY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 MARTIN LUTHER KING JR LN, TEMPLE, TX 76504-5941
(254) 791-8280
Mailing address
208 CARSWELL ST, WACO, TX 76705-1569
(254) 548-4538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/12/2018
Last updated
08/12/2018
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