Provider Demographics
NPI:1154330223
Name:OGLETREE, GITA PATEL (PA-C, PT)
Entity type:Individual
Prefix:MRS
First Name:GITA
Middle Name:PATEL
Last Name:OGLETREE
Suffix:
Gender:F
Credentials:PA-C, PT
Other - Prefix:
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Mailing Address - Street 1:188 HOSPITAL DR STE 202
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2038
Mailing Address - Country:US
Mailing Address - Phone:251-990-1922
Mailing Address - Fax:251-990-1912
Practice Address - Street 1:188 HOSPITAL DR STE 202
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2038
Practice Address - Country:US
Practice Address - Phone:251-990-1922
Practice Address - Fax:251-990-1912
Is Sole Proprietor?:No
Enumeration Date:2006-08-06
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
225100000X
ALPA.926363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist