Provider Demographics
NPI:1164513842
Name:ZITTEL, GAIL S (MA OTR CHT)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:S
Last Name:ZITTEL
Suffix:
Gender:F
Credentials:MA OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 RINGLING BLVD
Mailing Address - Street 2:SUITE E120
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5353
Mailing Address - Country:US
Mailing Address - Phone:941-955-2020
Mailing Address - Fax:941-955-2120
Practice Address - Street 1:2831 RINGLING BLVD
Practice Address - Street 2:SUITE E120
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5353
Practice Address - Country:US
Practice Address - Phone:941-955-2020
Practice Address - Fax:941-955-2120
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT0000416225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ2836ZMedicare ID - Type Unspecified