Bethel Gilmore, PTA

NPI #1508460593 in Carencro, Louisiana

Provider Information

NPI Number: 1508460593
Entity Type: Individual
Name: Bethel Gilmore, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 204 E SAINT PETER ST
City: Carencro
State: Louisiana
ZIP Code: 70520-4009
Phone: (337) 896-6686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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