Individual
CHERYL LEE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5721 SPRINGFIELD RD, WILLISTON, SC 29853-1917
(803) 266-3229
(803) 266-2257
Mailing address
105 DONEGAL DRIVE, AIKEN, SC 29803
(803) 221-1198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1340
SC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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