# JENNIFER GENTILE PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417686940
- **Authorized official:** DR. JENNIFER T GENTILE PT, DPT (MANAGING MEMBER)
- **Authorized official phone:** (917) 582-3931

## Contact information

- **Practice address:** 725 RIVER RD STE 60, EDGEWATER, NJ 07020-1149
- **Practice address phone:** (201) 941-2240
- **Mailing address:** 359 W PASSAIC AVE, BLOOMFIELD, NJ 07003-5521
- **Mailing address phone:** (917) 582-3931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2022
- **Last updated:** 06/09/2022