Organization
PREFERRED PROSTHETICS AND ORTHOTICS, INC.
Active
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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