Provider Demographics
NPI:1285732362
Name:NEAL, GAIL F (PT)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:F
Last Name:NEAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1242
Mailing Address - Country:US
Mailing Address - Phone:804-330-2440
Mailing Address - Fax:804-330-0895
Practice Address - Street 1:7301 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1242
Practice Address - Country:US
Practice Address - Phone:804-330-2440
Practice Address - Fax:804-330-0895
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305000140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist