Provider Demographics
NPI:1659460673
Name:GILMORE, ELIZABETH JOY (BA, ATC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JOY
Last Name:GILMORE
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Gender:F
Credentials:BA, ATC
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Mailing Address - Street 1:1896 MARKET ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5725
Mailing Address - Country:US
Mailing Address - Phone:408-551-1767
Mailing Address - Fax:408-551-1744
Practice Address - Street 1:500 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95053-0001
Practice Address - Country:US
Practice Address - Phone:408-551-1767
Practice Address - Fax:408-551-1744
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer