Individual
ASHLEY GENGELBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2488 S WALNUT ST, BLOOMINGTON, IN 47401-7735
(812) 287-8044
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(850) 315-9311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015519A
IN
225100000X
Physical Therapist
13438
MN
225100000X
Physical Therapist
PT35837
FL
Other
Enumeration date
09/29/2021
Last updated
10/28/2024
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