Provider Demographics
NPI:1518392919
Name:DEBBIE GALE ITDS INC.
Entity Type:Organization
Organization Name:DEBBIE GALE ITDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-839-0816
Mailing Address - Street 1:2172 CAPE HEATHER CIR
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3513
Mailing Address - Country:US
Mailing Address - Phone:239-839-0816
Mailing Address - Fax:239-673-9369
Practice Address - Street 1:2172 CAPE HEATHER CIR
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-3513
Practice Address - Country:US
Practice Address - Phone:239-839-0816
Practice Address - Fax:239-673-9369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty