Provider Demographics
NPI:1093868481
Name:THE RITA GALE SERVICES FOR INDEPENDENCE P.C.
Entity Type:Organization
Organization Name:THE RITA GALE SERVICES FOR INDEPENDENCE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGIANA
Authorized Official - Middle Name:CHEVALIER
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:269-267-8855
Mailing Address - Street 1:925 JACKSON ST
Mailing Address - Street 2:1
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-3018
Mailing Address - Country:US
Mailing Address - Phone:269-267-8855
Mailing Address - Fax:
Practice Address - Street 1:925 JACKSON ST
Practice Address - Street 2:1
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-3018
Practice Address - Country:US
Practice Address - Phone:269-267-8855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201006772225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty