Provider Demographics
NPI:1437832748
Name:GALE, PAIGE (MT-BC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:GALE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 116TH AVE N APT 199
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-2722
Mailing Address - Country:US
Mailing Address - Phone:908-783-4037
Mailing Address - Fax:
Practice Address - Street 1:842 62ND STREET CIR E STE 105
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-6213
Practice Address - Country:US
Practice Address - Phone:813-421-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist