MEDICARE: MS. CYNTHIA FORTUNATO DITONA M.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 25853	CA

General Provider Information

NPI Number	:	1871746586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA FORTUNATO DITONA M.P.T.

Provider Business Mailing Address
First Line	:	5421 N ROSALIA AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-7642
Country	:	US
Telephone Number	:	559-271-1426
Fax Number	:

Provider Business Practice Location Address
First Line	:	5180 N PALM AVE
Second Line	:	SUITE 102
City	:	FRESNO
State	:	CA
Zip	:	93704-2229
Country	:	US
Telephone Number	:	559-244-0394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2008
Last Update Date	:	10/25/2008

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