Individual
MR. GENTRY WEBB BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6405 METCALF AVENUE, SUITE 220, OVERLAND PARK, KS 66202
(913) 831-2721
(913) 384-0513
Mailing address
6405 METCALF AVENUE, SUITE 220, OVERLAND PARK, KS 66202
(913) 831-2721
(913) 384-0513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T02047
KS
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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