Provider Demographics
NPI:1700420072
Name:GALE, CHARLOTTE JOYCE (LICENSED MASSAGE THE)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:JOYCE
Last Name:GALE
Suffix:
Gender:F
Credentials:LICENSED MASSAGE THE
Other - Prefix:MRS
Other - First Name:GAIL
Other - Middle Name:JOYCE
Other - Last Name:SAMSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:96 WEST BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525
Mailing Address - Country:US
Mailing Address - Phone:609-273-1232
Mailing Address - Fax:
Practice Address - Street 1:96 WEST BROAD ST
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525
Practice Address - Country:US
Practice Address - Phone:609-273-1232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00422800225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist