Organization
AUSTIN ALLEN GENTRY PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN ALLEN GENTRY PT (OWNER/PROVIDER)
(520) 745-0545
Entity
Organization
Contact information
Practice address
899 N WILMOT RD, #A-3, TUCSON, AZ 85711-1714
(520) 745-0545
(520) 745-0505
Mailing address
899 N WILMOT RD, #A-3, TUCSON, AZ 85711-1714
(520) 745-0545
(520) 745-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783383721
—
AZ
Enumeration date
12/17/2009
Last updated
12/17/2009
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