Provider Demographics
NPI:1386659720
Name:CERRUTI, GAIL K (PT)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:K
Last Name:CERRUTI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:GAIL
Other - Middle Name:K
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:152 NORTH STREET
Mailing Address - Street 2:SUITE 48
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201
Mailing Address - Country:US
Mailing Address - Phone:413-822-7105
Mailing Address - Fax:
Practice Address - Street 1:152 NORTH STREET
Practice Address - Street 2:SUITE 48
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201
Practice Address - Country:US
Practice Address - Phone:413-822-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16982225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist