Individual
MS. GWEN M GENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
BALLINGER REHABILITATION AND THERAPY, 6007 B 244TH ST SW, MOUNTLAKE TERRACE, WA 98043
(425) 640-4762
(425) 640-4885
Mailing address
6110 61ST AVE SE APT A, SNOHOMISH, WA 98290-5124
(608) 769-9778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
308-019
WI
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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