Provider Demographics
NPI:1770547234
Name:FATINO, ARTHUR G (ATC)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:G
Last Name:FATINO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LINTNER RD
Mailing Address - Street 2:APT D
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-7969
Mailing Address - Country:US
Mailing Address - Phone:724-459-3898
Mailing Address - Fax:
Practice Address - Street 1:100 SCHOOL LN
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-8709
Practice Address - Country:US
Practice Address - Phone:724-459-3696
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART00254A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer