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NPI Code Detail

MEDICARE: MRS. JENNIFER N GILMORE MSPT

MEDICARE: MRS. JENNIFER N GILMORE MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist022401NY
2225100000XPhysical Therapist26310CA
3225100000XPhysical Therapist24234FL

General Provider Information

NPI Number : 1275586257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER N GILMORE MSPT
Provider Business Mailing Address
First Line : 253 FRENCH LEA RD
Second Line : LEFT
City : WEST SENECA
State : NY
Zip : 14224-1648
Country : US
Telephone Number : 716-536-3555
Fax Number :
Provider Business Practice Location Address
First Line : 50 E NORTH ST
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1002
Country : US
Telephone Number : 716-885-8318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/23/2013

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