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Individual

DR. LYNWOOD OVERTON GENTRY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD OTR/L

Contact information

Practice address
8520 SUNVIEW LN, RICHMOND, VA 23235-4150
(804) 267-1947
Mailing address
8520 SUNVIEW LN, RICHMOND, VA 23235-4150
(804) 267-1947

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0119001845
VA

Other

Enumeration date
10/16/2008
Last updated
10/16/2008
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