Individual
ROSA ISABEL GARNICA-GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
RR NO. 2 BOX 208, LINTON, IN 47441
(812) 847-9675
(812) 847-4708
Mailing address
RR NO. 2 BOX 208, LINTON, IN 47441
(812) 847-9675
(812) 847-4708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000194858
BLUE CROSS BLUE SHIELD
IN
Enumeration date
10/22/2007
Last updated
10/22/2007
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