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Organization
MILE-LEVEL PHYSICAL THERAPY
Active
Organization
MILE-LEVEL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EUGENE GENTRY P.T. (PRESIDENT)
(814) 623-9022
Entity
Organization
Contact information
Practice address
9589 LINCOLN HWY, SUITE 2, BEDFORD, PA 15522-3708
(814) 623-9022
(814) 623-6639
Mailing address
9589 LINCOLN HWY, SUITE 2, BEDFORD, PA 15522-3708
(814) 623-9022
(814) 623-6639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009733210001
—
PA
Enumeration date
07/28/2006
Last updated
02/24/2011
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