Individual provider · Type 1 NPI
Gina Nicole Gentzkow, DPT
Pediatric Physical Therapist · Bismarck, ND
Practice location
300 N 7th St
Bismarck, ND 58501-4439
Mailing address
704 W Avenue C
Bismarck, ND 58501-3456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2035 (ND) |
| Physical Therapist | 225100000X | 05011748A (IN) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1255713012
Gina Nicole Gentzkow, DPT's National Provider Identifier is 1255713012, issued on Jun 29, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Bismarck, ND. The record was last updated on Feb 9, 2017.