Provider Demographics
NPI:1487784633
Name:FRENCH, GAIL (PT)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:FRENCH
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 1:12215 WILDERNESS RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-2269
Mailing Address - Country:US
Mailing Address - Phone:907-561-9191
Mailing Address - Fax:
Practice Address - Street 1:1413 G ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-5049
Practice Address - Country:US
Practice Address - Phone:907-344-6261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK418208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPT0418Medicaid
AKPT0418Medicaid