Individual
DR. GRAYSON GENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, D.P.T.
Contact information
Practice address
2078 TERON TRCE, SUITE 250, DACULA, GA 30019-1604
(404) 993-9082
(866) 571-5808
Mailing address
2078 TERON TRCE, SUITE 250, DACULA, GA 30019-1604
(404) 993-9082
(866) 571-5808
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT004112
GA
Other
Enumeration date
06/09/2005
Last updated
12/30/2010
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