Individual
REBECCA JANE GILLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 SLOVAK RD, ENNIS, TX 75119-7275
(469) 438-6492
Mailing address
316 SLOVAK RD, ENNIS, TX 75119-7275
(469) 438-6492
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2135789
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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