Provider Demographics
NPI:1285260554
Name:GAIL STOCKS, MA, OTR/L, LLC
Entity type:Organization
Organization Name:GAIL STOCKS, MA, OTR/L, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:P
Authorized Official - Last Name:STOCKS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:973-500-8751
Mailing Address - Street 1:P.O. .BOX 1248
Mailing Address - Street 2:125 GLEN RIDGE AVENUE
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-9998
Mailing Address - Country:US
Mailing Address - Phone:973-500-8751
Mailing Address - Fax:
Practice Address - Street 1:68 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1327
Practice Address - Country:US
Practice Address - Phone:973-495-2297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty