Provider Demographics
NPI:1922299239
Name:GAAL, SHARI LYN (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:LYN
Last Name:GAAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:WILKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 WILL O WISP DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3102
Mailing Address - Country:US
Mailing Address - Phone:757-422-8476
Mailing Address - Fax:804-435-2172
Practice Address - Street 1:1717 WILL O WISP DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3102
Practice Address - Country:US
Practice Address - Phone:757-422-8476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025505-1225100000X
VA2305203051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist