Individual
NICOLA GENTILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1756 TEMPLE AVE, MAYFIELD HEIGHTS, OH 44124-3016
(440) 724-6497
Mailing address
6218 TALL OAKS DR, MENTOR, OH 44060-3148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009359
OH
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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