Organization
PREFERRED PROSTHETICS AND ORTHOTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY LOUIS DIBENEDETTO LPO (PRESIDENT)
(330) 259-0265
Entity
Organization
Contact information
Practice address
8571 FOXWOOD CT STE C, POLAND, OH 44514-4313
(330) 259-0265
(330) 259-0272
Mailing address
8571 FOXWOOD CT STE C, POLAND, OH 44514-4313
(330) 259-0265
(330) 259-0272
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LPO23
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244821
ANTHEM BC/BS
OH
05
—
2347366
—
OH
Enumeration date
11/15/2007
Last updated
11/15/2007
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