Individual
DONNA GENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3120
Mailing address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02577
KY
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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