Individual
NICHOLAS GENTILEZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 GREENFIELD RD, SCOTT TWP, PA 18433-7761
(570) 479-0982
Mailing address
185 GREENFIELD RD, SCOTT TWP, PA 18433-7761
(570) 479-0982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003421
PA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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