Provider Demographics
NPI:1508338153
Name:CASE, GAIL FRANCES (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:FRANCES
Last Name:CASE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:FRANCES
Other - Last Name:CASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:79 SIMONDS AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06019-3239
Mailing Address - Country:US
Mailing Address - Phone:860-216-7630
Mailing Address - Fax:203-813-5850
Practice Address - Street 1:79 SIMONDS AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06019-3239
Practice Address - Country:US
Practice Address - Phone:860-216-7630
Practice Address - Fax:203-813-5850
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006421225100000X
CT004261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist