Individual
ASHLEIGH LYNN GENTELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
480 MIKOM ROAD, SUMTER, SC 29153
(803) 236-8809
Mailing address
297 W BOYCE ST, MANNING, SC 29102-3004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3938
SC
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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