Provider Demographics
NPI:1720798234
Name:FITTRO, CATHI A
Entity type:Individual
Prefix:MS
First Name:CATHI
Middle Name:A
Last Name:FITTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8881 W DEADFALL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-6670
Mailing Address - Country:US
Mailing Address - Phone:937-450-1159
Mailing Address - Fax:
Practice Address - Street 1:8881 W DEADFALL RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-6670
Practice Address - Country:US
Practice Address - Phone:937-450-1159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRU045870OtherDRIVERS