Provider Demographics
NPI:1841400405
Name:GENTRY, ANNE ISABELLA (MA ATR)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ISABELLA
Last Name:GENTRY
Suffix:
Gender:F
Credentials:MA ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 PAMELA AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2862
Mailing Address - Country:US
Mailing Address - Phone:412-901-4426
Mailing Address - Fax:
Practice Address - Street 1:ANN ARBOR REHABILITATION CENTERS, INC.
Practice Address - Street 2:3135 PROFESSIONAL DRIVE
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104
Practice Address - Country:US
Practice Address - Phone:734-677-4600
Practice Address - Fax:734-677-5848
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist