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Individual

KERRY JANEEN GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
605 CRESCENT PL, GAHANNA, OH 43230-3086
(614) 545-7900
(614) 545-7901
Mailing address
340 POLARIS PKWY, WESTERVILLE, OH 43082-7971
(614) 545-7900
(614) 545-7901

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006461
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090266
OH
01
P01167025
MCRR
OH
Enumeration date
10/10/2007
Last updated
06/04/2025
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