Provider Demographics
NPI:1205044401
Name:HILL, GAIL ANN (OTR)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:ANN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:821 E 2ND ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3344
Mailing Address - Country:US
Mailing Address - Phone:707-745-3785
Mailing Address - Fax:707-746-1770
Practice Address - Street 1:821 E 2ND ST
Practice Address - Street 2:SUITE 104
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3344
Practice Address - Country:US
Practice Address - Phone:707-745-3785
Practice Address - Fax:707-746-1770
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 5731225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist