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Individual
GARY L LENTELL
Active
Individual
GARY L LENTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10042
CA
2251C2600X
Cardiopulmonary Physical Therapist
PT10042
CA
2251G0304X
Geriatric Physical Therapist
PT10042
CA
2251S0007X
Sports Physical Therapist
PT10042
CA
2251X0800X
Orthopedic Physical Therapist
PT10042
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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