Provider Demographics
NPI:1083895833
Name:DANNENFELS, GAIL ALLISON (OTR/L)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ALLISON
Last Name:DANNENFELS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MARYCHRIS DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1715
Mailing Address - Country:US
Mailing Address - Phone:978-568-8161
Mailing Address - Fax:978-567-9089
Practice Address - Street 1:22 MARYCHRIS DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1715
Practice Address - Country:US
Practice Address - Phone:978-568-8161
Practice Address - Fax:978-567-9089
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3240225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist