Provider Demographics
NPI:1225288590
Name:GABRIEL, GAIL CASLIB (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:CASLIB
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 MENLO AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4742
Mailing Address - Country:US
Mailing Address - Phone:415-244-3162
Mailing Address - Fax:
Practice Address - Street 1:644 MENLO AVE STE 100
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4742
Practice Address - Country:US
Practice Address - Phone:415-244-3162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8243225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist