Individual provider · Type 1 NPI

Bethel Gilmore, PTA

Physical Therapy Assistant · Carencro, LA

NPI number 1508460593 Active

Practice location

204 E Saint Peter St
Carencro, LA 70520-4009

Mailing address

PO Box 849
Jennings, LA 70546-0849

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA1939R (LA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1508460593

Bethel Gilmore, PTA's National Provider Identifier is 1508460593, issued on Nov 30, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carencro, LA. The record was last updated on Nov 30, 2020.