Provider Demographics
NPI:1497957880
Name:EMERSON, GAIL DENLEY (PT)
Entity Type:Individual
Prefix:MISS
First Name:GAIL
Middle Name:DENLEY
Last Name:EMERSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2443
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-2443
Mailing Address - Country:US
Mailing Address - Phone:808-885-6908
Mailing Address - Fax:808-885-6908
Practice Address - Street 1:65-1230 MAMALAHOA HWY
Practice Address - Street 2:HAWAIIAN REHABILITATION SERVICES INC SUITE E-11
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743
Practice Address - Country:US
Practice Address - Phone:808-885-7131
Practice Address - Fax:808-885-5926
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI577225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist