Provider Demographics
NPI:1013029545
Name:HENDSEY, GAIL M (PT)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:M
Last Name:HENDSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 TROMLEY RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06088-9647
Mailing Address - Country:US
Mailing Address - Phone:860-623-4263
Mailing Address - Fax:860-683-2614
Practice Address - Street 1:6 POQUONOCK AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2507
Practice Address - Country:US
Practice Address - Phone:860-683-0080
Practice Address - Fax:860-683-2614
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002493225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
650000522Medicare ID - Type Unspecified
S71522Medicare UPIN