Logan Gentry, PT, DPT | |
2020 Arlington St Ste 3, Ada, OK 74820-2822 | |
(580) 332-5124 | |
Not Available |
Full Name | Logan Gentry |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2020 Arlington St Ste 3, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184438202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6656 (Oklahoma) | Primary |
Provider Name | Select Physical Therapy Holdings Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205162716 PECOS PAC ID: 9537076401 Enrollment ID: O20110106000736 |
Mailing Address | Practice Location Address |
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Logan Gentry, PT, DPT 2301 Williams Dr, Sulphur, OK 73086-1444 Ph: () - | Logan Gentry, PT, DPT 2020 Arlington St Ste 3, Ada, OK 74820-2822 Ph: (580) 332-5124 |
Daniel J Allman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 | |
Mr. Timothy Ryan Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-310-5687 Fax: 580-421-6283 | |
Lindsy Wells, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 | |
Craig Stewart, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 | |
Adam Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Seabrook Rd, Ada, OK 74820 Phone: 580-310-6635 | |
Clayton Lent, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 229 Seabrook Rd, Ada, OK 74820 Phone: 580-310-6635 |