Individual
MAUREEN ELIZABETH GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
56 GENESIS DR, LAKE CITY, SC 29560-5531
(843) 389-3685
Mailing address
2358 FREEDOM BLVD APT B2, FLORENCE, SC 29505-6180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
.8324
SC
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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