Individual
MARY BETH GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 N BOEKE RD, EVANSVILLE, IN 47711-5925
(812) 477-1908
Mailing address
601 N BOEKE RD, EVANSVILLE, IN 47711-5925
(812) 477-1908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004070A
IN
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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