| Organization Name: | DINO ROVITO ETAL PTR |
| NPI Number: | 1083668875 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINO W ROVITO (PARTNER) |
| Mailing Address: | 719 Fairmont Ave Suite 102 Fairmont |
| State: | WV US |
| Postal Code: | 265545118 |
| Phone Number: | 3043638543 |
| Fax Number: | 3043630173 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 06/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |