MEDICARE: FORTITUDE HEALTH AND WELLNESS

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1841046778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTITUDE HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	1973 STONERIDGE DR
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-4583
Country	:	US
Telephone Number	:	419-651-7743
Fax Number	:

Provider Business Practice Location Address
First Line	:	5748 STATE ROUTE 13 NORTH
Second Line	:
City	:	GREENWICH
State	:	OH
Zip	:	44878
Country	:	US
Telephone Number	:	419-651-7743
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DANIEL DONATINI JR.
Credential	:	PT
Telephone Number	:	419-651-7743

Provider Enumeration Date	:	04/30/2024
Last Update Date	:	04/30/2024

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Directions to “FORTITUDE HEALTH AND WELLNESS ” Practice Location

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