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Vanessa Gentry

Physical Therapist in Royal Oak, MI. Individual provider (NPI-1).

NPI number1982105953
StatusActive
Last updated in NPPESFeb 26, 2018

Details

NPI
1982105953
Entity type
Individual (NPI-1)
Name
Vanessa Gentry
Sex
Female
Sole proprietor
No
Enumeration date
Feb 26, 2018
Last updated
Feb 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501007239MIYes

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Phone 248-898-5499

Mailing address

3295 Kipling Ave
Berkley, MI 48072-1639

Phone 248-730-0930

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