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Ms. Carol Anne Gore
Rehabilitation Practitioner in Pacoima, California
NPI 1003947169

Carol Anne Gore is a Rehabilitation Practitioner based in Pacoima, CA. Carol Anne Gore practices in Pacoima, CA. The NPI Number for Carol Anne Gore is 1003947169 and holds a License No. (California).

The current practice location address for Carol Anne Gore is 12510 Van Nuys Blvd. #200, Pacoima, CA and can be reached out via phone at 626-831-5079.

Location: 12510 Van Nuys Blvd. #200, Pacoima, CA, 91331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003947169
Provider Name
Carol Anne Gore
Credential
Provider Entity Type
Individual
Gender
Female
Address
12510 Van Nuys Blvd. #200, Pacoima, CA, 91331
Phone Number
626-831-5079
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12510 Van Nuys Blvd. #200
City
Pacoima
State
California
Zip
91331
Phone Number
626-831-5079
Fax Number
person
Provider Business Mailing Address Details
Address
12510 Van Nuys Blvd. #200
City
Pacoima
State
California
Zip
91331
Phone Number
626-831-5079
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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