ANTHONY LOUIS DIBENEDETTO

POLAND, OH
NPI1619931417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: OH  LPO23)
Additional Taxonomies222Z00000X Orthotist
(Licence: OH  LPO23)
Enumeration Date2006-04-17
Last Update Date2007-11-06
Business Address
Mr. ANTHONY LOUIS DIBENEDETTO LPO
8571 FOXWOOD COURT SUITE C
POLAND, OH 44514
Phone number: 330-259-0265
Mailing Address
Mr. ANTHONY LOUIS DIBENEDETTO LPO
8571 FOXWOOD COURT SUITE C
POLAND, OH 44514
Phone number: 330-259-0265