Provider Demographics
NPI:1871746586
Name:DITONA, CYNTHIA FORTUNATO (MPT)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:FORTUNATO
Last Name:DITONA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 N ROSALIA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93723-7642
Mailing Address - Country:US
Mailing Address - Phone:559-271-1426
Mailing Address - Fax:
Practice Address - Street 1:5180 N PALM AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2229
Practice Address - Country:US
Practice Address - Phone:559-244-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist