Individual
MR. ANTHONY LOUIS DIBENEDETTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPO
Contact information
Practice address
8571 FOXWOOD COURT, SUITE C, POLAND, OH 44514
(330) 259-0265
(330) 259-0272
Mailing address
8571 FOXWOOD COURT, SUITE C, POLAND, OH 44514
(330) 259-0265
(330) 259-0272
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO23
OH
224P00000X
Prosthetist
Primary
LPO23
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347366
—
OH
Enumeration date
04/17/2006
Last updated
11/06/2007
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