NPI 1508460593

Bethel Gilmore, PTA

Practitioner Physical Therapy Assistant Carencro, LA

Practice location

Address: 204 E Saint Peter St, Carencro, LA 70520-4009
Phone: (337) 896-6686
Mailing address: PO Box 849, Jennings, LA 70546-0849

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1939R (LA)

Other Physical Therapy Assistant providers in Louisiana →

Registry record

NPI: 1508460593
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2020
Record last updated: 30 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.