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Contact Information

CARLY GENTRY, PTA
1150 PONCE DE LEON BLVD
CLEARWATER, FL33756
 Phone: 727-584-5893
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CARLY GENTRY · (Female)

NPI # 1235783788
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/01/2019
Last updated 08/01/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 25517
  • SC License # 4269
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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