Provider Demographics
NPI:1629015920
Name:GALE, ELIZABETH CATHERINE (MS, ATC,CSCS)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:CATHERINE
Last Name:GALE
Suffix:
Gender:F
Credentials:MS, ATC,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 NORWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06013-1802
Mailing Address - Country:US
Mailing Address - Phone:860-673-0391
Mailing Address - Fax:
Practice Address - Street 1:24 NORWOOD RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06013-1802
Practice Address - Country:US
Practice Address - Phone:860-673-0391
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer