Individual
ROLANDO GENTICA GERSAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 N WEST ST, SOMERVILLE, TN 38068-1309
(901) 465-1801
(901) 465-1894
Mailing address
PO BOX 908, SOMERVILLE, TN 38068-0908
(901) 465-1801
(901) 465-1894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3837068
AETNA PROVIDER NUM
TN
01
—
4086883
BCBS PROVIDER NUM
TN
01
—
P00158981
RAILROAD MEDICARE
TN
Enumeration date
07/08/2006
Last updated
07/08/2007
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