Individual
DR. JOSHUA DANIEL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3510 COORS BLVD SW STE D, ALBUQUERQUE, NM 87121-5328
(505) 539-1410
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20240203
NM
225100000X
Physical Therapist
6333
OK
225100000X
Physical Therapist
—
AZ
Other
Enumeration date
06/02/2023
Last updated
07/10/2024
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