Individual
BRADLEY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
8890 E 116TH ST STE 130, FISHERS, IN 46038-2856
(317) 621-6740
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05007371A
IN
Other
Enumeration date
10/12/2016
Last updated
02/15/2023
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