Provider Demographics
NPI:1407103096
Name:BELAIEF, GAIL TERRY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:TERRY
Last Name:BELAIEF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:PATULLO
Other - Last Name:BELAIEF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:6 ALLISON CIR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5001
Mailing Address - Country:US
Mailing Address - Phone:508-736-8682
Mailing Address - Fax:
Practice Address - Street 1:6 ALLISON CIR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-5001
Practice Address - Country:US
Practice Address - Phone:508-736-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA460225XF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing