Individual provider · Type 1 NPI

Jacqueline Gentile

Physical Therapy Assistant · Port Orange, FL

NPI number 1679130389 Active

Practice location

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321

Call (888) 265-2680 Map

Mailing address

6 Carey Ave
Carbondale, PA 18407-2520

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XTE011682 (PA)
Physical Therapy Assistant 225200000X09713 (OR)
Physical Therapy Assistant 225200000X0563 (SD)
Physical Therapy Assistant Primary 225200000X9634 (MA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1679130389

Jacqueline Gentile's National Provider Identifier is 1679130389, issued on May 29, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Orange, FL. The record was last updated on Jun 11, 2019.