NPI 1174660336

Dana Gentile, OTRL

Practitioner Prevention Professional Virginia Beach, VA

Practice location

Address: 2320 Red Tide Rd, Virginia Beach, VA 23451-1204
Phone: (757) 550-0725
Fax: (888) 306-7078
Mailing address: 401 Torre Pine CT, Chesapeake, VA 23322-8097

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 0119006386 (VA)

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Registry record

NPI: 1174660336
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2007
Record last updated: 21 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.