Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | 460 | MA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 460 | MA |
NPI | 1407103096 |
---|---|
Provider Name | Mrs. Gail Terry Belaief |
First Address | Plymouth, MA 02360-5001 |
Second Address | Plymouth, MA 02360-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2012 |
Last Update Date | 14/08/2012 |