Provider Demographics
NPI:1457534315
Name:DECAMP, GAIL MARGARET (DPT)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:MARGARET
Last Name:DECAMP
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 E EL CAMINO REAL
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2804
Mailing Address - Country:US
Mailing Address - Phone:650-964-5523
Mailing Address - Fax:650-964-5981
Practice Address - Street 1:700 E EL CAMINO REAL
Practice Address - Street 2:SUITE 130
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2804
Practice Address - Country:US
Practice Address - Phone:650-964-5523
Practice Address - Fax:650-964-5981
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34220225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist