Individual
JEFFREY GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1575 BELLEAIR LN, CLEARWATER, FL 33764-2574
(727) 509-2638
Mailing address
1575 BELLEAIR LN, CLEARWATER, FL 33764-2574
(727) 509-2638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24736
FL
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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