Provider Demographics
NPI:1881638757
Name:ONEILL, GAIL LYNN (PT)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:LYNN
Last Name:ONEILL
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:13998 MERRIE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9174
Mailing Address - Country:US
Mailing Address - Phone:248-486-0563
Mailing Address - Fax:248-486-0091
Practice Address - Street 1:11166 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:MI
Practice Address - Zip Code:48353-2702
Practice Address - Country:US
Practice Address - Phone:810-991-3300
Practice Address - Fax:810-632-9535
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5501002886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist