Individual
MRS. KELLY ANNE GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 MOE RD, CLIFTON PARK, NY 12065-3821
(518) 280-4294
Mailing address
45 COBBLE HILL DR, GANSEVOORT, NY 12831-2525
(845) 551-5032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008741
NY
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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