Individual
JESSICA GENTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(180) 033-5106
Mailing address
266 OAK ST, DUNCAN FALLS, OH 43734-9704
(740) 868-6884
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008409
OH
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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