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Individual

BRANDI L GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9589 LINCOLN HWY, SUITE 2, BEDFORD, PA 15522-3708
(814) 623-7559
(814) 623-6639
Mailing address
9589 LINCOLN HWY, SUITE 2, BEDFORD, PA 15522-3708
(814) 623-7559
(814) 623-6639

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015778
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014301610001
PA
Enumeration date
08/13/2006
Last updated
07/08/2007
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